Individual provider Active NPI

Catherine Anne Kelly, M.A., LMHC

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1285066084
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
102 Sea View Dr
Warwick, RI 02889-9229
Phone
(401) 533-3862
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

102 Sea View Dr
Warwick, RI 02889-9229

Mailing address

102 Sea View Dr
Warwick, RI 02889-9229
Phone (401) 533-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229004260 RI Practitioner - Mental Health Counselor 3779928619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Behavioral Health IncGroup PAC ID 4082528245, 44 clinicians

Practice addresses (Care Compare)

2756 Post Rd
Warwick, RI 02886-3077
Phone (401) 691-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, Inc. CurrentSince Jan 21, 2024 Accepting new patients

Locations

50 Health Ln
Warwick, RI 02886
Phone (401) 738-4300

2756 Post Rd
Warwick, RI 02886
Phone (401) 691-6000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1285066084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SEA VIEW DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028899229",
            "telephone_number": "401-533-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SEA VIEW DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028899229",
            "telephone_number": "401-533-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.