Stephanie Lee Pezzone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

290 West Exchange Street
Suite 100
Providence, RI 02903

Phone

(401) 865-6000

NPI assigned

Jun 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Calm Currents Counseling, LLC

  • Mental Health Counselor
  • Rumford, RI
  • NPI 1942014485
  NPD Authorized official
• Adoption Rhode Island

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1568608461
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1154946325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 WEST EXCHANGE STREET",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-865-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 WEST EXCHANGE STREET",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-865-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZONE",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lenny Petrou
• Kristina Shae Petrucci, PA-C
• Gail A Petters, MD
• Catherine C Pettit, MD
• Diane Pezza, RD, LDN, CDE
• David Anthony Pezzullo, DMD
• Mark Daniel Pfeiffer, LICSW
• Scott James Pfirrman, MD
• Catherine Phalen
• Thach Pham, M.D.

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.