NPIMap

Organization Active NPI

Jewish Collaborative Services

Doing business as Jewish Family Services

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1073162202
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JEWISH COLLABORATIVE SERVICES
Doing business as
Jewish Family Services
Jewish Seniors Agency of RI
Lifeline RI
Practice address
1165 N Main St
Providence, RI 02904-5740
Phone
(401) 331-1244
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Merelise A Hitte
Title
Cfo
Phone
(401) 331-1244

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Emergency Response System Companies 333300000X

Addresses

Primary practice location

1165 N Main St
Providence, RI 02904-5740

Mailing address

1165 N Main St
Providence, RI 02904-5740
Phone (401) 331-1244

Other names 3

  • Jewish Family Services Doing business as
  • Jewish Seniors Agency of RI Doing business as
  • Lifeline RI Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Providence

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190927002138 RI Part B Supplier - Clinic/Group Practice 3274863683 Receives reassigned benefits from 13 practitioners
Practice locations: Providence, RI

National Provider Directory

National Provider Directory
Tax ID family
Jewish Collaborative Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1073162202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-331-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045740",
            "telephone_number": "401-331-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH COLLABORATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "HITTE",
        "authorized_official_first_name": "MERELISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-331-1244"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Providence",
            "affiliation": "N",
            "address_1": "1165 N Main St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029045740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jewish Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jewish Seniors Agency of RI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jewish Seniors Agency of RI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifeline RI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.