Active NPIIndividual providerSole proprietor

Regina Moller

Counselor, Addiction (Substance Use Disorder) in Clinton, Connecticut

NPI Number1649546177
Practice location
16 Tidewater Ln, Clinton, CT 06413-2726
Fax
—
Last updated
September 9, 2025

Regina Moller is a Counselor, Addiction (Substance Use Disorder) based in Clinton, CT. Regina Moller practices in Clinton, CT. The NPI Number for Regina Moller is 1649546177 and holds a License No. 000787 (CT). The current practice location address for Regina Moller is 16 Tidewater Ln, Clinton, CT 06413-2726 and can be reached out via phone at 860-271-6716.

Provider Profile Details

NPI Number
1649546177
Provider Name
Regina Moller
Provider Entity Type
Individual
Gender
Female
Address
16 Tidewater Ln, Clinton, CT 06413-2726
Phone Number
860-271-6716
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2012
Last Update Date
September 9, 2025
Certification Date
September 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Tidewater Ln
Clinton, CT 06413-2726
Zip
06413-2726
Phone Number
860-271-6716
Clinton, CT 06413Get directions →

Provider Business Mailing Address Details

Address
16 Tidewater Ln
Clinton, CT 06413-2726
City
Clinton
State
CT
Zip
06413-2726

License Information

License Number (1)
000787
License State (1)
CT
Taxonomy (1)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
License Number (2)
LC3898
License State (2)
ME

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Regina Moller?

The NPI number of Regina Moller is 1649546177. It was assigned on March 29, 2012 and is currently active in the NPPES registry.

What is the specialty of Regina Moller?

Regina Moller is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000787.

Where does Regina Moller practice?

The practice location is 16 Tidewater Ln, Clinton, CT 06413-2726. The office can be reached at 860-271-6716 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649546177 directly on the NPPES registry website.

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