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

MS. Regina Roschele Blaine

Individual provider Mental Health Counselor · NPI 1316114762

MS. Regina Roschele Blaine is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 432-5185
Fax: (323) 432-5086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 29689 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 70018 (CA)

Record details

NPI number1316114762
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2008
Last updated in NPPESAugust 31, 2016

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