Regina Louise Shawley – Professional Counselor

Key facts

NPI: 1972365575
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: PC016306 (PA)
Practice address: 140 W Penn Ave Ste 2
Robesonia, PA 19551-1504
Phone: (610) 750-9135
NPI assigned: Jan 29, 2024
Sex: Female
Sole proprietor: Yes

Organizations & group practices 4

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.

Furnace Creek Counseling LLC Professional Counselor · Robesonia, PA · NPI 1952804023

Medicare reassignment Care Compare group NPD PA · PROFESSIONAL
Susquehanna Physician Services Psychiatry Physician · Williamsport, PA · NPI 1831132927

Medicare reassignment NPD PA · PROFESSIONAL
Vitae Health Medical Pennsylvania LLC Internal Medicine Physician · Oakland, MD · NPI 1548922438

Medicare reassignment NPD PA
Susquehanna Physician Services Radiology Clinic/Center · Mansfield, PA · NPI 1073361564

NPD

Medicare Care Compare profile

Specialty: Mental Health Counselor
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Susquehanna Physician Services (611 clinicians)
Furnace Creek Counseling LLC (10 clinicians)

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone (570) 320-7525

140 W Penn Ave
Suite 2
Robesonia, PA 19551-1504
Phone (610) 750-9135

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240820003253	PA	Practitioner - Mental Health Counselor	9537607692	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Susquehanna Physician Services		Current since Feb 1, 2026	Accepting new patients
Susquehanna Physician Services	Professional	Current since Feb 1, 2026	Accepting new patients
Vitae Health Medical Pennsylvania LLC		Current since Aug 1, 2024	Accepting new patients
Furnace Creek Counseling LLC	Professional	Current since Jul 19, 2024	Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

7800 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 722-2300

140 W Penn Ave
#2
Robesonia, PA 19551
Phone (610) 750-9135

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	PC016306	PA	Yes

Addresses

Primary practice location

140 W Penn Ave Ste 2
Robesonia, PA 19551-1504

Mailing address

140 W Penn Ave Ste 2
Robesonia, PA 19551-1504

Other providers in Robesonia, PA

All providers in Robesonia, PA · Professional Counselor in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.