Regan O'Rourke, LMHC
Counselor, Mental Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1205259751
StatusActive
Last updated in NPPESFeb 3, 2014
Details
- NPI
- 1205259751
- Entity type
- Individual (NPI-1)
- Name
- Regan O'Rourke
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2014
- Last updated
- Feb 3, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH 10173 | FL | Yes |
Practice location
5215 Highway AveSuite 101
Jacksonville, FL 32254-3632
Phone 904-423-0017
Mailing address
5215 Highway AveSuite 101
Jacksonville, FL 32254-3632
Phone 904-423-0017
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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