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MS. REGINA ROSCHELE BLAINE
NPI 1316114762
Counselor - Mental Health in Los Angeles, CA

Active since May 14, 2008PECOS Enrolled
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 432-5185(323) 432-5086 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Regina Roschele Blaine NPPES

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

MS. REGINA ROSCHELE BLAINE (NPI 1316114762) is an individual mental health provider in Los Angeles, California, licensed in California (29689) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316114762
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. REGINA ROSCHELE BLAINE
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address698 Orange Ave Apt 302Long Beach, CA 90802-1777
Phone(323) 432-5185
Fax(323) 432-5086
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateAugust 31, 2016
✔ NPI 1316114762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 29689
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 70018 (CA)
4211 AVALON BLVD, Los Angeles, CA 90011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Regina Roschele Blaine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Regina Blaine's NPI number?

The NPI number for Regina Blaine is 1316114762. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Regina Blaine located?

Regina Blaine practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 432-5185.

What is Regina Blaine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Regina Blaine enrolled in Medicare?

Yes. Regina Blaine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Regina Blaine was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.