Individual provider Active NPI

Alicia Haas

  • Mental Health Counselor
  • North Kingstown, RI
National Provider Identifier
1174237028
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01673 Issued in RI
Practice address
1130 Ten Rod Rd BLDG D-104a
North Kingstown, RI 02852-4161
Phone
(401) 305-0038
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 MHC01673 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd BLDG D-104a
North Kingstown, RI 02852-4161

Mailing address

1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176

Other practice location 1

1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176
Phone (401) 294-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC01673RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ricbt, Inc. Mental Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

1130 Ten Rod Rd
Ste E305
North Kingstown, RI 02852
Phone 4012940451824

Organizations & group practices 1

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1174237028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD BLDG D-104A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-305-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Ten Rod Rd Ste E305",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028524176",
            "country_code": "US",
            "telephone_number": "401-294-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.