Active NPI
Erin Minior, LICSW
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1104989540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ISW01122
- Practice address
- 229 Waterman St
Providence, RI 02906-5212 - Phone
- (401) 331-1244
- Fax
- (401) 331-5772
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ISW01122 | RI | Primary |
| Mental Health Counselor | 101YM0800X | 1029405 | MA |
Addresses
Primary practice location
229 Waterman St
Providence, RI 02906-5212
Mailing address
618 Wood St
Somerset, MA 02726-3321
Phone (508) 674-0982
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021500 | Other | RI | BEACON HEALTHCARE |
| 30222-7 | Other | RI | BLUE CROSS |
| 7743105 | Other | RI | AETNA BEHAVIORAL HEALTH |
| EM24193 | Medicaid | RI | |
| 409226 | Other | RI | BLUE CHIP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1029405 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104989540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 WOOD ST",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027263321",
"telephone_number": "508-674-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 WATERMAN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065212",
"telephone_number": "401-331-1244",
"fax_number": "401-331-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINIOR",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "ISW01122",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1029405",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTHCARE",
"identifier": "1021500",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30222-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7743105",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EM24193",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "409226",
"state": "RI"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.