Individual provider Active NPI

Regina Wesley, MA

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1841550951
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8225 Issued in NC
Practice address
910 Person St
Suite 3
Fayetteville, NC 28301-5925
Phone
(910) 850-4845
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8225 NC Primary

Addresses

Primary practice location

910 Person St
Suite 3
Fayetteville, NC 28301-5925

Mailing address

910 Person St
Suite 3
Fayetteville, NC 28301-5925
Phone (910) 850-4845

Other identifiers 1

IdentifierTypeStateIssuer
6115108MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260417000886 NC Practitioner - Mental Health Counselor 0840766887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2915 Raeford Rd
Suite 100
Fayetteville, NC 28303-5491
Phone (910) 703-7108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8225NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A Place for US Counseling & Consulting Agency Current Accepting new patients

Locations

910 Person St
Ste 3
Fayetteville, NC 28301
Phone (910) 850-4845

Organizations & group practices 1

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1841550951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PERSON ST",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015925",
            "telephone_number": "910-850-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PERSON ST",
            "address_2": "SUITE 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015925",
            "telephone_number": "910-850-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "8225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.