Active NPI
Steven Tyler Grenier, LCDP
- Addiction (Substance Use Disorder) Counselor
- Warwick, RI
National Provider Identifier
1114755030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00993
- Practice address
- 1990 Elmwood Ave
Warwick, RI 02888-2404 - Phone
- (401) 781-2700
- NPI assigned
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00993 | RI | Primary |
Addresses
Primary practice location
1990 Elmwood Ave
Warwick, RI 02888-2404
Mailing address
150 Curry Rd
Cranston, RI 02920-2218
Phone (401) 209-5663
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00993 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1114755030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CURRY RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029202218",
"telephone_number": "401-209-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 ELMWOOD AVE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028882404",
"telephone_number": "401-781-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENIER",
"first_name": "STEVEN",
"middle_name": "TYLER",
"credential": "LCDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.