Healthcare Provider Details

I. General information

NPI: 1851476162
Provider Name (Legal Business Name): REAGAN R THOMPSON M.A., LPC, LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REAGAN R RICO MA, LPC, LMHP

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 AVENUE C
SCOTTSBLUFF NE
69361-1680
US

IV. Provider business mailing address

2622 AVENUE C
SCOTTSBLUFF NE
69361-1680
US

V. Phone/Fax

Practice location:
  • Phone: 308-632-8547
  • Fax: 308-632-0135
Mailing address:
  • Phone: 308-632-8547
  • Fax: 308-632-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7503
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: