REGAN BAUDENDISTEL
NPI 1114558186
Counselor in Ross, CA

Q: What is Regan Baudendistel's NPI number?

The NPI number for Regan Baudendistel is 1114558186. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Q: What is Regan Baudendistel's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since January 29, 2020

47 SIR FRANCIS DRAKE BLVD, ROSS, CA 94957(818) 926-8401 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Regan Baudendistel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGAN BAUDENDISTEL (NPI 1114558186) is an individual counselor in Ross, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1114558186

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameREGAN BAUDENDISTEL

Location Address47 SIR FRANCIS DRAKE BLVDRoss, CA 94957-9601

Mailing AddressPo Box 1446Ross, CA 94957-1446 · (818) 926-8401

Phone(818) 926-8401

Sole ProprietorYes

Enumeration DateJanuary 29, 2020

✔ NPI 1114558186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

47 SIR FRANCIS DRAKE BLVD, Ross, CA 94957

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regan Baudendistel's NPI number?

The NPI number for Regan Baudendistel is 1114558186. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Regan Baudendistel located?

Regan Baudendistel practices at 47 Sir Francis Drake Blvd, Ross, CA 94957. The listed phone number is (818) 926-8401.

What is Regan Baudendistel's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Regan Baudendistel was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.