Reagan Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REAGAN COUNSELING LLC

Practice address

4630 W Jefferson Blvd
Fort Wayne, IN 46804-6856

Phone

(260) 616-0185

NPI assigned

May 6, 2022

Organization subpart

No

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

Authorized official

Name

Salathiel Reagan, LMHCNPI 1285975847

Title

Owner

Phone

(260) 616-0185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salathiel Reagan, MS

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1285975847
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1962148601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046856",
            "telephone_number": "260-616-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046856",
            "telephone_number": "260-616-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "SALATHIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-616-0185",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RCG Indiana, L.L.C.
• RDR Devine, LLC
• Amanda Rea
• Reaching Out Loud, Inc.
• Samantha Reader
• Megan Reagan
• Salathiel Reagan, MS
• Sarah Elizabeth Reagin, RPH
• Oliver Ream
• Lindsey Reas, RBT

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.