Active NPI
Regina M Lassabe, LPC, LMHC
- Mental Health Counselor
- Centerville, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 086134
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2511019 | Medicaid | AR | |
| 1962870196 | Medicaid | IA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P2511019 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Health | Current | Accepting new patients | |
| Infinity Health | Current | Accepting new patients | |
| 4 Flames Counseling Center LLC | Mental Health | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Leon, IA
- NPI 1770521981
-
- Federally Qualified Health Center (FQHC)
- Lamoni, IA
- NPI 1922294362
-
dba 4 Flames Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Branch, AR
- NPI 1215800255
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.