Individual provider · Type 1 NPI
Regina Bass, LPC
Mental Health Counselor · Grand Rapids, MI
NPI number
1245763879
Active
Practice location
1345 Monroe Ave NW Ste 269
Grand Rapids, MI 49505-4693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6451018734 |
| Behavior Technician | 106S00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6451018734 (MI) |
| Mental Health Counselor | 101YM0800X | 6451018734 (FM) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1245763879
Regina Bass, LPC's National Provider Identifier is 1245763879, issued on Apr 10, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 23, 2026.