Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356512495 Individual Practitioner Female Practitioner

Kimberly Diane Reagan , LPC

Counselor - Professional • Longview, TX

Professional Overview & Biography Verified Profile Summary

Kimberly Reagan, LPC is a registered healthcare professional specializing in Counselor - Professional in Longview, TX. Practice services are available at 107 WOODBINE PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 Woodbine Pl

Longview, TX 756012912

Telephone 8004468253
Fax 9032341639
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
142 Specialists

Practicing in Longview, TX (21203 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 65334

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Burch , LPC

Counselor - Professional

NPI 1003735119

Licensed Professional Counselor

Robert Hollins , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1083329312

Licensed Chemical Dependency Counselor

Juan Silos , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1083341655

Licensed Chemical Dependency Counselor

Stephanie White , APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093476798

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1104037639

Doctor of Medicine (M.D.)

Patrice Jernegons , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1114526274

Licensed Chemical Dependency Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 20, 2021

Registered at 107 WOODBINE PL, LONGVIEW, TX 756012912 (Tel: 8004468253)

📍
Updated Business Mailing Address September 20, 2021

Registered at 107 WOODBINE PL, LONGVIEW, TX 756012912 (Tel: 8004468253)

👤
Provider Name / Credentials Updated September 20, 2021

Recorded as KIMBERLY REAGAN, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2021

Counselor (License #65334 in TX)

NPI Profile Active March 17, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2008

Registered at 914 N CANAL ST, CARLSBAD, NM 882205110 (Tel: 5058854836)

📍
Updated Business Mailing Address March 17, 2008

Registered at 914 N CANAL ST, CARLSBAD, NM 882205110 (Tel: 5058854836)

👤
Provider Name / Credentials Updated March 17, 2008

Recorded as KIMBERLY REAGAN, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2008

Counselor (License #0111711 in NM)

🟢
Initial NPI Registration & Enumeration March 17, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356512495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2008
Last Update: September 20, 2021
Sole Proprietor: Yes

Mailing Address

107 Woodbine Pl

Longview, TX 756012912

Phone: 8004468253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.