Individual provider Active NPI

Regina Marie Collins, B.S., M.S., MFTI

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1821495375
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2845 Mesa Verde Dr E
Suite #8
Costa Mesa, CA 92626-4858
Phone
(714) 432-9857
NPI assigned
Nov 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2845 Mesa Verde Dr E
Suite #8
Costa Mesa, CA 92626-4858

Mailing address

2845 Mesa Verde Dr E
Suite #8
Costa Mesa, CA 92626-4858
Phone (714) 432-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Walsvig, Marriage and Family Therapy, Inc. Marriage & Family Therapist CurrentSince Aug 6, 2023 Accepting new patients
Nancy D Young PHD Past Accepting new patients

Locations

901 Dove St
Ste 150
Newport Beach, CA 92660
Phone (714) 310-1670

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1821495375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 MESA VERDE DR E",
            "address_2": "SUITE #8",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264858",
            "telephone_number": "714-432-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MESA VERDE DR E",
            "address_2": "SUITE #8",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264858",
            "telephone_number": "714-432-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "B.S., M.S., MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.