Daniel Barbosa
Individual provider Active NPI Mental Health Counselor · Woonsocket, RI
NPI 1043311871 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1043311871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC00346 (RI)
- Practice address
- 800 Clinton St
Woonsocket, RI 02895-3245 - Phone
- (401) 235-7000
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104003047 | RI | Practitioner - Mental Health Counselor | 8325499239 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC226 | RI | MD | Counselor |
| MHC00346 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Current |
Accepting new patients |
Locations
181 Cumberland St
Woonsocket, RI 02895
Phone (401) 235-7469
800 Clinton St
Woonsocket, RI 02895
Phone (401) 235-7469
55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC226 | RI | |
| Mental Health Counselor | 101YM0800X | MHC00346 | RI | Yes |
Addresses
Primary practice location
800 Clinton St
Woonsocket, RI 02895-3245
Mailing address
PO Box 1700
Woonsocket, RI 02895-0856
Phone (401) 235-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB40911 | Medicaid | RI |
Other providers in Woonsocket, RI
- Ballou Home for the Aged of Woonsocket Rhode Island
- Jason Ballou
- Stanley Richard Balon
- Kimberly Noelle Balser
- Morlai Bangura
- Donna Lynn Glad Barboza
- Daniel J Barchie
- Sheryl Barlow
- Kathryn Grace Barros
- Erinne Barrows
All providers in Woonsocket, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.