Individual provider Active NPI

Kristin Romaine, M.A.

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1154787315
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
542 Central Ave
Pawtucket, RI 02861-5919
Phone
(781) 365-8981
NPI assigned
Jan 4, 2016
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 Primary

Addresses

Primary practice location

542 Central Ave
Pawtucket, RI 02861-5919

Mailing address

82 Greenville Ave
North Providence, RI 02911-2738
Phone (781) 228-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen J Romaine Wellness Services Mental Health CurrentSince Feb 8, 2023 Accepting new patients
Counseling and Psychotherapy Center of Greater Boston, Inc. Past Accepting new patients

Locations

542 Central Ave
Pawtucket, RI 02861
Phone (401) 409-5509

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1154787315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 GREENVILLE AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112738",
            "telephone_number": "781-228-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 CENTRAL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028615919",
            "telephone_number": "781-365-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAINE",
        "first_name": "KRISTIN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.