Regina Abdou, LPC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12211 Issued in NC

Practice address

114 Rosedale Cir
Winston Salem, NC 27106-4604

Phone

(914) 552-5131

NPI assigned

Dec 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regina Abdou

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1205288289
  NPD (past) Authorized official

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1821533092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ROSEDALE CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064604",
            "telephone_number": "914-552-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ROSEDALE CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064604",
            "telephone_number": "914-552-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOU",
        "first_name": "REGINA",
        "credential": "LPC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22374",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyvette La'Chella Abbott
• Latoya Delena Abbott, ANP
• Thomas D Abbott, MD
• Abc of NC Child Development Center
• Ahmed M Abdel-Raouf, MD
• Marwa Farouk Elmahdi Abdrabbou
• Mohammed Abdulhaleem, MD
• Firas Nabeel Abdulmajeed, M.D.
• Whitney Messer Abel, NP
• Angel Abercrombie

• All providers in Winston Salem, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.