Organization Active NPI

Wendy V., LMHC, LLC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1043819931
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WENDY V., LMHC, LLC
Practice address
126 Prospect St Ste 206
Pawtucket, RI 02860-4476
Phone
(401) 400-2135
Fax
(401) 272-4361
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Mrs. Wendy Vedrine, LMHCNPI 1073038949
Title
Clinician
Phone
(404) 903-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

126 Prospect St Ste 206
Pawtucket, RI 02860-4476

Mailing address

40 Dix Ave
Johnston, RI 02919-4851
Phone (404) 903-5840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1043819931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DIX AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194851",
            "telephone_number": "404-903-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 206",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-400-2135",
            "fax_number": "401-272-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY V., LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "VEDRINE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "404-903-5840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.