MEDICARE: REGINA VERHELST LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	178016274	IL
2	101YM0800X	Mental Health Counselor	180015110	IL

General Provider Information

NPI Number	:	1770198178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REGINA VERHELST LPC

Provider Business Mailing Address
First Line	:	180 N MICHIGAN AVE STE 1025C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7999
Country	:	US
Telephone Number	:	773-417-9349
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 N MICHIGAN AVE STE 1025C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7999
Country	:	US
Telephone Number	:	773-417-9349
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	03/24/2023

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Directions to “ REGINA VERHELST LPC” Practice Location

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