Individual provider Active NPI

Claritza Tejeda

  • Mental Health Counselor
  • Cranston, RI
National Provider Identifier
1164072443
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1020 Park Ave
Cranston, RI 02910-3227
Phone
(401) 396-7649
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

1020 Park Ave
Cranston, RI 02910-3227

Mailing address

66 Troy St
Fall River, MA 02720-3023

Other practice location 1

66 Troy St
Fall River, MA 02720-3023
Phone (508) 676-5708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230207000736 MA Practitioner - Clinical Social Worker 6103298831 Reassigns benefits to 1 organization
I20240311003539 RI Practitioner - Clinical Social Worker 6103298831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Services, Inc. 34 clinicians

Practice addresses (Care Compare)

160 Osborn St
Fall River, MA 02724-2814
Phone (508) 676-5708

965 Church St
New Bedford, MA 02745-1400
Phone (508) 996-8572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diversity Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Directions for Life Inc CurrentSince Dec 24, 2024 Accepting new patients
Dr Joanne L Doucette Psychological Services Inc CurrentSince Jan 1, 2024 Accepting new patients
Child & Family Services, Inc. Mental Health CurrentSince Dec 27, 2022 Accepting new patients

Locations

160 Osborn St
Fall River, MA 02724
Phone (508) 317-8330

3057 Acushnet Ave
New Bedford, MA 02745
Phone (508) 742-1040

965 Church St
New Bedford, MA 02745
Phone (508) 996-3154

111 Wayland Ave
Providence, RI 02906
Phone (401) 396-7649

1020 Park Ave
Providence, RI 02910
Phone (401) 396-7649

Organizations & group practices 4

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1164072443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 TROY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027203023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103227",
            "telephone_number": "401-396-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Troy St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027203023",
            "country_code": "US",
            "telephone_number": "508-676-5708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "CLARITZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.