Individual provider Active NPI

Gloria Mayowa Faboyede, MS, MA, LMHCA

  • Mental Health Counselor
  • North Providence, RI
National Provider Identifier
1225979008
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00481-A Issued in RI
Practice address
984 Charles St
North Providence, RI 02904-5054
Phone
(401) 935-1804
Fax
(401) 340-1904
NPI assigned
Apr 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHC00481-A RI Primary

Addresses

Primary practice location

984 Charles St
North Providence, RI 02904-5054

Mailing address

984 Charles St
North Providence, RI 02904-5054
Phone (401) 935-1804

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
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MHC00481-ARIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1225979008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 CHARLES ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045054",
            "telephone_number": "401-935-1804",
            "fax_number": "401-340-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 CHARLES ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045054",
            "telephone_number": "401-935-1804",
            "fax_number": "401-340-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABOYEDE",
        "first_name": "GLORIA",
        "middle_name": "MAYOWA",
        "credential": "MS, MA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00481-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.