Organization Active NPI

Seeds for Change Consulting and Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warwick, RI
National Provider Identifier
1265997381
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SEEDS FOR CHANGE CONSULTING AND THERAPY SERVICES, LLC
Practice address
90 Jefferson Blvd
Warwick, RI 02888-1045
Phone
(401) 461-2842
NPI assigned
Feb 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Christiane Petrin Lambert, LICSWNPI 1396262739
Title
LLC Member
Phone
(401) 743-6632

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

90 Jefferson Blvd
Warwick, RI 02888-1045

Mailing address

54 Briarwood Hill Rd
Exeter, RI 02822-5031
Phone (401) 743-6632

Other names 1

  • Seeds for Change Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190802000497 RI Part B Supplier - Clinic/Group Practice 8527394204 Receives reassigned benefits from 1 practitioner
Practice locations: North Kingstown, RI; Warwick, RI

National Provider Directory

National Provider Directory

Locations

650 Ten Rod Rd
Ste 103
North Kingstown, RI 02852
Phone (401) 402-0295

Practitioners & affiliated clinicians

Practitioners 2

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": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1265997381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BRIARWOOD HILL RD",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028225031",
            "telephone_number": "401-743-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881045",
            "telephone_number": "401-461-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDS FOR CHANGE CONSULTING AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "PETRIN LAMBERT",
        "authorized_official_first_name": "CHRISTIANE",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "401-743-6632",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeds for Change",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seeds for Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.