Individual provider Active NPI

Janet Hindley, LICSW/LCDP

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1053533182
Registry record updated Oct 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW02553 Issued in RI
Practice address
115 Hanover Ave
Pawtucket, RI 02861-2129
Phone
(401) 256-4277
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2015

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 CDP00458 RI
Mental Health Counselor 101YM0800X ISW02553 RI Primary

Addresses

Primary practice location

115 Hanover Ave
Pawtucket, RI 02861-2129

Mailing address

115 Hanover Ave
Pawtucket, RI 02861-2129
Phone (401) 256-4277

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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP00458RIMDAddiction (Substance Use Disorder) Counselor
ISW02553RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Providence Center Past Accepting new patients

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445126400000",
    "number": "1053533182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HANOVER AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612129",
            "telephone_number": "401-256-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HANOVER AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612129",
            "telephone_number": "401-256-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDLEY",
        "first_name": "JANET",
        "name_prefix": "Ms.",
        "credential": "LICSW/LCDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00458",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW02553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.