Individual provider Active NPI

Justin Delyani

  • Addiction (Substance Use Disorder) Counselor
  • Pawtucket, RI
National Provider Identifier
1023704970
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00906 Issued in RI
Practice address
196 Cottage St
Pawtucket, RI 02860-3004
Phone
(401) 388-4061
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00906 RI Primary
Mental Health Counselor 101YM0800X MHC01829 RI

Addresses

Primary practice location

196 Cottage St
Pawtucket, RI 02860-3004

Mailing address

196 Cottage St
Pawtucket, RI 02860-3004
Phone (401) 388-4061

Other practice location 1

20 Pleasant St
Lincoln, RI 02865-1923
Phone (401) 388-4061

Other names 1

  • Justin Beaucage Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209001318 RI Practitioner - Mental Health Counselor 5698269587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 Pleasant St
Lincoln, RI 02865-1923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP00906RIMDAddiction (Substance Use Disorder) Counselor
MHC01829RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Delyani Counseling and Wellness, LLC Mental Health Current Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Nov 26, 2025 Accepting new patients

Locations

196 Cottage St
Pawtucket, RI 02860
Phone (401) 722-7537

1 Dorrance St
Providence, RI 02903

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1023704970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COTTAGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603004",
            "telephone_number": "401-388-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 COTTAGE ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603004",
            "telephone_number": "401-388-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651923",
            "country_code": "US",
            "telephone_number": "401-388-4061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELYANI",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00906",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "BEAUCAGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.