Individual provider Active NPI

Jaimie Gutierrez, LMHC-A

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1023864477
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MCH00060-A Issued in RI
Practice address
2756 Post Rd
Warwick, RI 02886-3077
Phone
(401) 691-6000
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 CDP01010 RI
Mental Health Counselor 101YM0800X MCH00060-A RI Primary

Addresses

Primary practice location

2756 Post Rd
Warwick, RI 02886-3077

Mailing address

47 Phenix Ave
West Warwick, RI 02893-4313
Phone (954) 999-3429

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
I20250723000222 RI Practitioner - Mental Health Counselor 0143736561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

2756 Post Rd
Warwick, RI 02886-3077
Phone (401) 691-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP01010RIMDAddiction (Substance Use Disorder) Counselor
MCH00060-ARIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, Inc. CurrentSince Jun 2, 2025 Accepting new patients

Locations

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

Organizations & group practices 1

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1023864477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PHENIX AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028934313",
            "telephone_number": "954-999-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863077",
            "telephone_number": "401-691-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "JAIMIE",
        "credential": "LMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP01010",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MCH00060-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.