Alexis Callahan
Individual provider Active NPI Mental Health Counselor · Pawtucket, RI
NPI 1043906407 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1043906407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC00450-A (RI)
- Practice address
- 105 Bacon St
Pawtucket, RI 02860-5542 - Phone
- (401) 722-3560
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00450-A | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Current |
Accepting new patients |
Locations
105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00450-A | RI | Yes |
Addresses
Primary practice location
105 Bacon St
Pawtucket, RI 02860-5542
Mailing address
700 Metacom Ave Apt 112
Warren, RI 02885-2334
Phone (443) 786-0305
Other providers in Pawtucket, RI
- Norana Irene Caivano
- Philip J Calabro
- Jane Calamar
- Caleb Duplan Foundation
- Thomas Calitri
- Moses Calouro
- Calverleigh Pharma Solutions LLC
- John Calzada
- Christopher Campanile
- Scott Michael Campbell
All providers in Pawtucket, 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 Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.