Active NPI
Monique Anastasia Terrell, LCSW
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1083475909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSW03100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW03100 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Streams of Hope Counseling, LLC | 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.
-
- Counselor
- Providence, RI
- NPI 1366271272
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.