Individual provider Active NPI

Beth Donovan, LCDP, LMHC

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1104165901
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00935 Issued in RI
Practice address
44 Williamson St
Fall River, MA 02720-7010
Phone
(508) 493-5621
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 CDP00545 RI
Mental Health Counselor 101YM0800X MHC00935 RI Primary

Addresses

Primary practice location

44 Williamson St
Fall River, MA 02720-7010

Mailing address

44 Williamson St
Fall River, MA 02720-7010
Phone (401) 424-1424

Other names 1

  • Beth-Ann Donovan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004131 RI Practitioner - Mental Health Counselor 0446602767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP00545RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program Current Accepting new patients
East Bay Community Action Program CurrentSince Jan 1, 2024 Accepting new patients

Locations

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

610 Wampanoag Trl
Riverside, RI 02915
Phone (401) 431-9870

Organizations & group practices 2

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": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1104165901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WILLIAMSON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207010",
            "telephone_number": "401-424-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WILLIAMSON ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207010",
            "telephone_number": "508-493-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "BETH",
        "credential": "LCDP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00545",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH-ANN",
            "last_name": "DONOVAN",
            "credential": "LCDP, LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.