REGINA B. MCCLURE


Address: 1805 W Monterey Ave Ste 146273, Chicago, IL 60643-4228
Phone: 3128343689

REGINA B. MCCLURE (NPI# 1376626200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376626200
Entity Type Individual
Full Name REGINA B. MCCLURE
Credential LCPC, NCSP
Practice Address 1805 W Monterey Ave Ste 146273
Chicago
IL 60643-4228
Practice Telephone 3128343689
Mailing Telephone 3128343689
Enumeration Date 2006-10-23
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP1600X Counselor
Specialization: Pastoral
IL Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
180-0066064 IL Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
180006074 IL Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
1035218 IN Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
1911832 IL Behavioral Health & Social Service Providers

Other Providers REGINA MCCLURE

NPI Name Taxonomy Address Enumeration
1154443398 Regina M. Mcclure Psychologist 1204 Little Gopher Canyon Road, Vista, CA 92084 2007-04-06

Office Location

Street Address 1805 W MONTEREY AVE STE 146273
City CHICAGO
State IL
Zip Code 60643-4228

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1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1114532561 Nefesh Counseling, LLC Counselor 3320 W Foster Ave # 124, Chicago, IL 60625-4813 2020-09-12
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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