Melissa McKenna

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC01556 Issued in RI

Practice address

600 Pawtucket Ave
Pawtucket, RI 02860-6059

Phone

(401) 808-6278

NPI assigned

Feb 4, 2022

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diversity Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cranston, RI
  • NPI 1033868930
  Medicare reassignment NPD
• Emma Pendleton Bradley Hospital

  • Psychiatric Hospital
  • Riverside, RI
  • NPI 1578768867
  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Psychiatry Physician
  • Providence, RI
  • NPI 1548506793
  Medicare reassignment NPD
• Directions for Life Inc

  • Social Worker
  • Cranston, RI
  • NPI 1427432137
  NPD
• Dr Joanne L Doucette Psychological Services Inc

  • Psychologist
  • Providence, RI
  • NPI 1104051176
  NPD
• Emma Pendleton Bradley Hospital

  • Psychiatry Physician
  • Riverside, RI
  • NPI 1073705943
  NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1114671609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHURCH ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028062924",
            "telephone_number": "401-837-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAWTUCKET AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606059",
            "telephone_number": "401-808-6278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864416",
            "country_code": "US",
            "telephone_number": "401-837-2387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00772",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet McCoy
• Kimberly McDonald
• David Edward McElroy
• Donamarie McGarry, RN
• Isatu Kamara McGee
• Rebecca McLean
• Naomi Y McMackin, MD
• Megan McMahon, MD
• Blake McMillian, APRN CNP PMHNP-BC
• Megan McNamara, MD

• Mental Health Counselor in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.