Organization Active NPI

Whitestone Life Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Providence, RI
National Provider Identifier
1245617422
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WHITESTONE LIFE CENTER INC
Practice address
475 Cranston St
Providence, RI 02907-2744
Phone
(401) 523-7520
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Herman J Falu Jr., LCDP LCDS
Title
Substance Abuse Therapist
Phone
(401) 523-7520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X

Addresses

Primary practice location

475 Cranston St
Providence, RI 02907-2744

Mailing address

475 Cranston St
Providence, RI 02907-2744
Phone (401) 523-7520

National Provider Directory

National Provider Directory

Locations

475 Cranston St
Providence, RI 02907
Phone (401) 523-7520

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1245617422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CRANSTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072744",
            "telephone_number": "401-523-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CRANSTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072744",
            "telephone_number": "401-523-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESTONE LIFE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "FALU",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE THERAPIST",
        "authorized_official_telephone_number": "401-523-7520",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCDP LCDS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 2015; 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.