Organization Active NPI

Elemental Health

  • Mental Health Counselor
  • East Greenwich, RI
National Provider Identifier
1104219625
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00663 Issued in RI
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

Updated by the provider on Mar 8, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CK42287MedicaidRI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.