NPIMap

Organization Active NPI

Discovery House

Doing business as Risat

  • Addiction (Substance Use Disorder) Counselor
  • Providence, RI
National Provider Identifier
1225431885
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DISCOVERY HOUSE
Doing business as
Risat
Practice address
66 Pavilion Ave
Providence, RI 02905-1522
Phone
(401) 461-9110
NPI assigned
Sep 26, 2014
Organization subpart
Yes
Parent organization
SMART MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Ms. Jalesia Terry
Title
Casemanager/Counsleor
Phone
(401) 461-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

66 Pavilion Ave
Providence, RI 02905-1522

Mailing address

66 Pavilion Ave
Providence, RI 02905-1522
Phone (401) 461-9110

Other names 1

  • RISAT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ri Substance Abuse Treatment Center6 organizations share this tax ID, including this one
Part of
Ri Substance Abuse Treatment Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1225431885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-461-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-461-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMART MANAGEMENT",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JALESIA",
        "authorized_official_title_or_position": "CASEMANAGER/COUNSLEOR",
        "authorized_official_telephone_number": "401-461-9110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RISAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.