Individual provider Active NPI

Monique Anastasia Terrell, LCSW

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1083475909
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW03100 Issued in RI
Practice address
1 Richmond SQ Ste 131C
Providence, RI 02906-5154
Phone
(401) 787-2792
Fax
(401) 679-6170
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 CSW03100 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 131C
Providence, RI 02906-5154

Mailing address

77 Knight St Apt 3
Providence, RI 02909-1549
Phone (401) 808-2703

Other practice location 1

77 Knight St
Providence, RI 02909-1549
Phone (401) 589-1297

Other practice location 2

215 Toll Gate Rd Ste 309
Warwick, RI 02886-4463
Phone (401) 787-2792

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW03100RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Streams of Hope Counseling, LLC PastSince Aug 10, 2025 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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1083475909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 KNIGHT ST APT 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091549",
            "telephone_number": "401-808-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 131C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065154",
            "telephone_number": "401-787-2792",
            "fax_number": "401-679-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Knight St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029091549",
            "country_code": "US",
            "telephone_number": "401-589-1297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Toll Gate Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864463",
            "country_code": "US",
            "telephone_number": "401-787-2792",
            "fax_number": "401-679-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "MONIQUE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "CSW03100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2026; 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.