MS. REGINA ROSCHELE BLAINE NPI 1316114762

NPI Information

NPI: 1316114762
Provider Name: MS. REGINA ROSCHELE BLAINE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
4211 AVALON BLVD
LOS ANGELES, CA
ZIP 90011
Phone: (323) 432-5185
Get Directions

MS. Regina Roschele Blaine is a mental health counselor in Los Angeles, CA. MS. Regina Roschele Blaine NPI is 1316114762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4211 AVALON BLVD
LOS ANGELES, CA
ZIP 90011-622
Phone: (323) 432-5185
Fax: (323) 432-5086

The NPI 1316114762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 8/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	70018	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	29689	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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