Julie Ann Agugiaro, LMHC
Individual provider Active NPI Mental Health Counselor · Cranston, RI
NPI 1154471167 · NPPES record last updated Jun 7, 2017
Key facts
- NPI
- 1154471167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC00410 (RI)
- Practice address
- 1500 Pontiac Ave
Cranston, RI 02920-4486 - Phone
- (401) 371-0223
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sheehan Psychotherapy Associates, Inc
Practice addresses (Care Compare)
33 College Hill Rd
Suite 30E
Warwick, RI 02886-2767
Phone (401) 821-6070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240702003134 | RI | Practitioner - Mental Health Counselor | 3971047846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheehan Psychotherapy Associates, Inc | Mental Health | Current |
Accepting new patients |
Locations
33 College Hill Rd
Ste 30E
Warwick, RI 02886
Phone (401) 821-6070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00410 | RI | Yes |
Addresses
Primary practice location
1500 Pontiac Ave
Cranston, RI 02920-4486
Mailing address
1500 Pontiac Avenue
Cranston, RI 02920
Phone (401) 371-0223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC385 | Medicaid | RI |
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All providers in Cranston, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.