Active NPI
Beth Donovan, LCDP, LMHC
- Mental Health Counselor
- Fall River, MA
National Provider Identifier
1104165901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00935
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00545 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Community Action Program | Current | Accepting new patients | |
| East Bay Community Action Program | Current | 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.
-
- Community Health Clinic/Center
- Riverside, RI
- NPI 1609925122
-
- Community/Behavioral Health Agency
- Riverside, RI
- NPI 1609239920
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.