Active NPI
Regan Haley Minear
- Social Worker
- Michigan City, IN
National Provider Identifier
1891402491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33009244A
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33009244A | Other | IN | INSURANCE COMPANIES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 33009244A | IN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Counseling Centers, Inc | Current | 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.
-
- Preferred Provider Organization
- Michigan City, IN
- NPI 1417083460
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.