Individual provider Active NPI

Michael Infante, MHC

  • Mental Health Counselor
  • Middletown, RI
National Provider Identifier
1053011619
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01452 Issued in RI
Practice address
42 Valley Rd Ste 3C
Middletown, RI 02842-6376
Phone
(401) 842-0089
NPI assigned
Mar 3, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01452 RI Primary

Addresses

Primary practice location

42 Valley Rd Ste 3C
Middletown, RI 02842-6376

Mailing address

116 State St
Bristol, RI 02809-2216
Phone (401) 543-8467

Other practice location 1

18 Gooding Ave
Bristol, RI 02809-2610
Phone (401) 842-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9 Court St
Bristol, RI 02809-2207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC01452RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gieseke, PHD & Associates Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

9 Court St
Bristol, RI 02809
Phone (401) 842-0009

42 Valley Rd
Ste 3C
Middletown, RI 02842
Phone (401) 842-0009

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1053011619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 STATE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028092216",
            "telephone_number": "401-543-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 VALLEY RD STE 3C",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426376",
            "telephone_number": "401-842-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Gooding Ave",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "RI",
            "postal_code": "028092610",
            "country_code": "US",
            "telephone_number": "401-842-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INFANTE",
        "first_name": "MICHAEL",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.