Active NPI
Elemental Health
- Mental Health Counselor
- East Greenwich, RI
National Provider Identifier
1104219625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00663
- Legal business name
- ELEMENTAL HEALTH
- Practice address
- 1544 Frenchtown Rd
East Greenwich, RI 02818-1311 - Phone
- (401) 741-0853
- NPI assigned
- Mar 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine M Hanson, R.N., LMHC
- Title
- Director
- Phone
- (401) 741-0853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00663 | RI | Primary |
Addresses
Primary practice location
1544 Frenchtown Rd
East Greenwich, RI 02818-1311
Mailing address
1544 Frenchtown Rd
East Greenwich, RI 02818-1311
Phone (401) 741-0853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK42287 | Medicaid | RI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425772800000",
"number": "1104219625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 FRENCHTOWN RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181311",
"telephone_number": "401-741-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 FRENCHTOWN RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181311",
"telephone_number": "401-741-0853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-08",
"last_updated": "2015-03-08",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "401-741-0853",
"authorized_official_credential": "R.N., LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CK42287",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.