Individual provider Active NPI

Patricia Ann Ursillo, MA LMHC

  • Marriage & Family Therapist
  • No Kingstown, RI
National Provider Identifier
1003958729
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MHC00041 Issued in RI
Practice address
100 Waterwheel Lane
No Kingstown, RI 02852-3315
Phone
(401) 295-4442
NPI assigned
Feb 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHC00041 RI
Mental Health Counselor 101YM0800X MHC00041 RI
Marriage & Family Therapist 106H00000X MHC00041 RI Primary

Addresses

Primary practice location

100 Waterwheel Lane
No Kingstown, RI 02852-3315

Mailing address

100 Waterwheel Lane
No Kingstown, RI 02852-3315
Phone (401) 295-4442

Other identifiers 1

IdentifierTypeStateIssuer
70955OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC00041RIMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003958729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WATERWHEEL LANE",
            "city": "NO KINGSTOWN",
            "state": "RI",
            "postal_code": "028523315",
            "telephone_number": "401-295-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATERWHEEL LANE",
            "city": "NO KINGSTOWN",
            "state": "RI",
            "postal_code": "028523315",
            "telephone_number": "401-295-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSILLO",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "MHC00041",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00041",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC00041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "70955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in No Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.