REGINA BLACKWELL (NPI# 1558735944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558735944 |
| Entity Type | Individual |
| Full Name | REGINA BLACKWELL |
| Practice Address |
3201 Florin Perkins Rd Sacramento CA 95827 |
| Mailing Address |
7416 Golf Club Ct Sacramento CA 95828-4863 |
| Practice Telephone | 9168751166 |
| Mailing Telephone | 9162566181 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Q15308 | CA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C5541214 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3201 FLORIN PERKINS RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590475 | Connie Jeanine Van Sickle | Marriage & Family Therapist | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2006-07-16 |
| 1447705652 | Fernay Jackson | Registered Nurse | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2016-08-17 |
| 1023473097 | Graham Sargent | Counselor | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-12-17 |
| 1346614559 | Larry Dwayne Craig | Counselor | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-25 |
| 1366815847 | Wellspace Health | Case Management | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-05 |
| 1770956245 | Felipe Gamez Sr. | Case Manager/Care Coordinator | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-11-05 |
| 1942670914 | County of Sacramento | Clinic/Center | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-10-02 |
| 1659757813 | Tamara Alton | Marriage & Family Therapist | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2015-08-10 |
| 1386960300 | Aleksander Podlubny | Marriage & Family Therapist | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2010-04-15 |
| 1255407870 | County of Sacramento | Clinic/Center | 3201 Florin Perkins Rd, Sacramento, CA 95826-3900 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on REGINA BLACKWELL.
| 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.