Organization Active NPI

Take Root Counseling Ri

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1255187902
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TAKE ROOT COUNSELING RI
Practice address
365 Smith St
Providence, RI 02908-3770
Phone
(401) 589-1047
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Rene NicolettiNPI 1427648211
Title
Owner
Phone
(860) 614-1329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

365 Smith St
Providence, RI 02908-3770

Mailing address

3 Lincoln Dr
Johnston, RI 02919-2861
Phone (860) 614-1329

National Provider Directory

National Provider Directory

Locations

365 Smith St
Providence, RI 02908
Phone (401) 589-1047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1255187902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LINCOLN DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192861",
            "telephone_number": "860-614-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083770",
            "telephone_number": "401-589-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE ROOT COUNSELING RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "NICOLETTI",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-614-1329"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 12, 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.