Individual provider Active NPI

Brett Lynn Farrell, MHC00169-A

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1114773967
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00169 Issued in RI
Practice address
2756 Post Rd
Warwick, RI 02886-3077
Phone
(401) 272-3018
Fax
(401) 272-1099
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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 MHC00169 RI Primary

Addresses

Primary practice location

2756 Post Rd
Warwick, RI 02886-3077

Mailing address

2756 Post Rd
Warwick, RI 02886-3077
Phone (401) 272-3018

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
I20250616002970 RI Practitioner - Mental Health Counselor 3476064577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC00169RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1114773967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863077",
            "telephone_number": "401-272-3018",
            "fax_number": "401-272-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863077",
            "telephone_number": "401-272-3018",
            "fax_number": "401-272-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "BRETT",
        "middle_name": "LYNN",
        "credential": "MHC00169-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.