REGINA MARIE REED LPC-MHSP (T)
Complete NPI Record 1700451192
Counselor - Mental Health in Knoxville, TN

NPI Status: Active since May 26, 2021

Contact Information

10414 JACKSON OAKS WAY STE 103
KNOXVILLE, TN
ZIP 37922
Phone: (865) 309-5044

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Complete NPI Dataset

This page represents the complete record for NPI 1700451192. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1700451192
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: REGINA
The first name of the provider, if the provider is an individual.
Provider Middle Name: MARIE
The middle name of the provider, if the provider is an individual.
Provider Credential Text: LPC-MHSP (T)
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Other Last Name: DAVIS
Other last name by which the provider being identified is or has been known.
Provider Other First Name: REGINA
Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ‘‘Provider first name’’ if the provider is or has been known by a different last name only.
Provider Other Middle Name: REED
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Other Last Name Type Code: 5
The date that a record was last updated or changed.
Provider First Line Business Mailing Address: 10414 JACKSON OAKS WAY STE 103
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address City Name: KNOXVILLE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: TN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 379220704
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8656713232
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 10414 JACKSON OAKS WAY STE 103
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: KNOXVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: TN
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 379220704
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8653095044
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/26/2021
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/14/2022
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 101YM0800X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 5461
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: TN
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 4/14/2022