Reginald O'Gwin, LPC-A, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

82696 Issued in TX

Practice address

6400 E. Hwy 290, Building 3, Suite 200
Austin, TX 78723-1032

Phone

(888) 810-8272

Fax

(888) 316-1718

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Community Supervision Alternatives, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
  • NPI 1053922682
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1770189094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 RUNNING DOE LN",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137237",
            "telephone_number": "702-793-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E. HWY 290, BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231032",
            "telephone_number": "888-810-8272",
            "fax_number": "888-316-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GWIN",
        "first_name": "REGINALD",
        "credential": "LPC-A, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82696",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "13700",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "82696",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Brian O'Donnell, LPC
• Patrick J O'Donnell, MD
• Peyton Ann O'Donnell, RDN, LDN
• John P O'Dowd
• Kevin P O'Farrell, MD
• Kaitlin Ingrid O'Halloran, PT
• Brian Kendall O'Hara, MS-SLP
• Rebecca Risher O'Hara, PA-C
• McKenna O'Kane, RN
• Ellen O'Leary

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.