Regina Anders, LPC-CANDIDATE
Individual provider Active NPI Counselor · Moore, OK
NPI 1962224691 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1962224691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 12447 (OK)
- Practice address
- 620 NW 5TH St Ste D
Moore, OK 73160-3947 - Phone
- (405) 208-4469
- Fax
- (405) 208-4472
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12447 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy Solutions of Oklahoma, LLC | Current |
Accepting new patients |
Locations
620 NW 5th St
Ste D
Moore, OK 73160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 12447 | OK | Yes |
Addresses
Primary practice location
620 NW 5TH St Ste D
Moore, OK 73160-3947
Mailing address
620 NW 5TH St Ste D
Moore, OK 73160-3947
Phone (405) 208-4469
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.