Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathaleen R Reagan, LPCC

Individual provider Mental Health Counselor · NPI 1306367032

Kathaleen R Reagan, LPCC is a Mental Health Counselor in LA Jolla, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

8950 Villa La Jolla Dr Ste C230
LA Jolla, CA 92037-1712
Phone: (925) 282-1778
Fax: (415) 296-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 E Mountain View St Ste 100, Barstow, CA 92311-2814 — (760) 256-7279

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC7527 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4032 (CA)

Record details

NPI number1306367032
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedJuly 3, 2017
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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