Individual provider Active NPI

Angel Rafael Garcia Jr., LMHC

  • Mental Health Counselor
  • North Kingstown, RI
National Provider Identifier
1114634169
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01440 Issued in RI
Practice address
1130 Ten Rod Rd Ste E308
North Kingstown, RI 02852-4176
Phone
(401) 294-0451
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01440 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste E308
North Kingstown, RI 02852-4176

Mailing address

245 Brandegee Ave
Groton, CT 06340-5101
Phone (347) 254-9732

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
I20240122003309 RI Practitioner - Mental Health Counselor 8628420023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1114634169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BRANDEGEE AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063405101",
            "telephone_number": "347-254-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E308",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "401-294-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANGEL",
        "middle_name": "RAFAEL",
        "name_suffix": "Jr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.