Individual provider Active NPI

Regina M Lassabe, LPC, LMHC

  • Mental Health Counselor
  • Centerville, IA
National Provider Identifier
1962870196
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
086134 Issued in IA
Practice address
221 E State St
Centerville, IA 52544-1813
Phone
(641) 856-6471
NPI assigned
Sep 3, 2015
Reactivated
Oct 14, 2019
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0016444 CO
Mental Health Counselor 101YM0800X 086134 IA Primary
Mental Health Counselor 101YM0800X P2511019 AR

Addresses

Primary practice location

221 E State St
Centerville, IA 52544-1813

Mailing address

2411 Kersey Rd
Branch, AR 72928-7011
Phone (479) 879-9413

Other practice location 1

8820 Autry Ct
Colorado Springs, CO 80920-7509
Phone (479) 879-9413 ext. 99413

Other practice location 2

2411 Kersey Rd
Branch, AR 72928-7011
Phone (479) 879-9413

Other identifiers 2

IdentifierTypeStateIssuer
P2511019MedicaidAR
1962870196MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229001047 IA Practitioner - Mental Health Counselor 2062719099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity HealthGroup PAC ID 5597717496, 19 clinicians

Practice addresses (Care Compare)

221 E State St
Centerville, IA 52544-1813
Phone (641) 856-6471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2511019ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Health Current Accepting new patients
Infinity Health CurrentSince Jan 1, 2024 Accepting new patients
4 Flames Counseling Center LLC Mental Health PastSince Sep 28, 2025 Accepting new patients

Locations

221 E State St
Centerville, IA 52544
Phone (641) 856-2775

302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1962870196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 KERSEY RD",
            "city": "BRANCH",
            "state": "AR",
            "postal_code": "729287011",
            "telephone_number": "479-879-9413",
            "fax_number": "479-879-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E STATE ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441813",
            "telephone_number": "641-856-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8820 Autry Ct",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207509",
            "country_code": "US",
            "telephone_number": "479-879-9413 x99413",
            "fax_number": "479-879-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Kersey Rd",
            "address_purpose": "LOCATION",
            "city": "Branch",
            "state": "AR",
            "postal_code": "729287011",
            "country_code": "US",
            "telephone_number": "479-879-9413",
            "fax_number": "479-879-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSABE",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "deactivation_date": "2019-09-24",
        "reactivation_date": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0016444",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "086134",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2511019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P2511019",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962870196",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

Verify at the official NPI Registry.