Individual provider Active NPI

Regan Haley Minear

  • Social Worker
  • Michigan City, IN
National Provider Identifier
1891402491
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33009244A Issued in IN
Practice address
340 Commerce SQ
Michigan City, IN 46360-3374
Phone
(219) 879-3283
Fax
(219) 879-6965
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33009244A IN Primary

Addresses

Primary practice location

340 Commerce SQ
Michigan City, IN 46360-3374

Mailing address

340 Commerce SQ
Michigan City, IN 46360-3374
Phone (219) 879-3283

Other identifiers 1

IdentifierTypeStateIssuer
33009244AOtherININSURANCE COMPANIES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scook@samaritancounselingmc.orf Other

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

State licenses

LicenseStateTypeSpecialty
33009244AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Centers, Inc CurrentSince Nov 6, 2022 Accepting new patients

Locations

340 Commerce Sq
Michigan City, IN 46360
Phone (219) 879-3283

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1891402491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603374",
            "telephone_number": "219-879-3283",
            "fax_number": "219-879-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603374",
            "telephone_number": "219-879-3283",
            "fax_number": "219-879-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEAR",
        "first_name": "REGAN",
        "middle_name": "HALEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009244A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE COMPANIES",
            "identifier": "33009244A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scook@samaritancounselingmc.orf",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Executive Director",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "340 Commerce Sq",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463603374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.