Active NPI
Regina Uribe, LMHC
- Mental Health Counselor
- Osceola, IN
National Provider Identifier
1881402873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39005262A
- Practice address
- 1415 Lincolnway W Ste T
Osceola, IN 46561-2063 - Phone
- (574) 651-8912
- Fax
- (574) 281-4412
- NPI assigned
- Dec 21, 2024
- Last updated
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39005262A | IN | Primary |
Addresses
Primary practice location
1415 Lincolnway W Ste T
Osceola, IN 46561-2063
Mailing address
1415 Lincolnway W Ste T
Osceola, IN 46561-2063
Phone (574) 651-8912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2025 through Jan 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39005262A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Family Therapy | Mental Health | Current | Accepting new patients |
| Becoming Whole Counseling LLC | Mental Health | Current | Accepting new patients |
| Cornerstone Family Therapy Center Inc | Mental Health | Past | Accepting new patients |
Locations
1415 Lincolnway W
Ste T
Osceola, IN 46561
Phone (574) 309-3781
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- South Bend, IN
- NPI 1508720665
-
- Mental Health Counselor
- Osceola, IN
- NPI 1346791688
-
- Mental Health Counselor
- Osceola, IN
- NPI 1114786621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734739200000",
"number": "1881402873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 LINCOLNWAY W STE T",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465612063",
"telephone_number": "574-651-8912",
"fax_number": "574-281-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 LINCOLNWAY W STE T",
"city": "OSCEOLA",
"state": "IN",
"postal_code": "465612063",
"telephone_number": "574-651-8912",
"fax_number": "574-281-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URIBE",
"first_name": "REGINA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-21",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39005262A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.