ELLEN GRACE REAGAN


Address: 75 Fenwood Rd Fl 5, Boston, MA 02115-6103
Phone: 3392060088

ELLEN GRACE REAGAN (NPI# 1174099931) 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) 1174099931
Entity Type Individual
Full Name ELLEN GRACE REAGAN
Practice Address 75 Fenwood Rd Fl 5
Boston
MA 02115-6103
Practice Telephone 3392060088
Enumeration Date 2018-10-19
Last Update Date 2018-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Office Location

Street Address 75 FENWOOD RD FL 5
City BOSTON
State MA
Zip Code 02115-6103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306375845 Emily Kline Psychologist 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2017-06-08
1962024554 Jessica Lee Mow Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2020-05-18
1619599255 Stephanie N. Decross Student in an Organized Health Care Education/Training Program 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2020-05-16
1912529603 Erin Thomas Pereida Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2020-05-15
1245897495 Karuna Chiemruom Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2019-05-23
1093378564 Eliza Olmsted Grossman Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2019-04-19
1013570878 Chloe Maren Sanders Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2019-04-17
1104394725 Alice Chinn Thompson Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2018-11-13
1306314232 Gwendolyn Orav Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2018-11-08
1093281859 Brooke Lundgren Counselor 75 Fenwood Rd Fl 5, Boston, MA 02115-6103 2018-10-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689271397 Maximilian Richert Counselor 25 Kingston St, 4r, Boston, MA 02111 2020-10-06
1508463688 April Chante Rowell Counselor 25 Kingston St Ste 4r, Boston, MA 02111-2200 2020-10-02
1598370629 Peaceful Healing Soul Counseling Center, LLC Counselor Online Therapy, Boston, MA 02127 2020-09-15
1578181871 Victor Stewart Counselor 37 Copeland St Apt 3, Boston, MA 02119-2288 2020-07-13
1831712165 Mona Hdeib Counselor 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 2020-05-21
1316587413 Laurence Phillip Casey Counselor 63 Woolson St Apt 1, Boston, MA 02126-2072 2020-01-07
1487295036 Alisa C. Ritchie Counselor 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 2019-10-04
1508412636 Madison Lambert Counselor 39 Bowdoin St, Boston, MA 02114-4201 2019-08-14
1730748104 Nassima Mouhoubi Counselor 105 Chauncy St Fl 5, Boston, MA 02111-1726 2019-06-10
1336622943 James Allan Scholl Counselor 85 E Newton St # M912, Boston, MA 02118-2841 2018-09-10
Find all providers in BOSTON

Competitor

Search similar providers

City BOSTON
Zip Code 02115

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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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