Counseling Services of Rhode Island

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000576078 Issued in RI

Legal business name

COUNSELING SERVICES OF RHODE ISLAND

Practice address

225 Newman Ave
Rumford, RI 02916-1218

Phone

(508) 561-0477

Fax

(800) 595-0717

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Anne Boutin-Gammon

Title

Owner

Phone

(508) 561-0477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1124319892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NEWMAN AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161218",
            "telephone_number": "508-561-0477",
            "fax_number": "800-595-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NEWMAN AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161218",
            "telephone_number": "508-561-0477",
            "fax_number": "800-595-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "BOUTIN-GAMMON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-561-0477"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "000576078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.