Active NPI
Charles Stebbins, MA, COUNSELOR
- Counselor
- Woonsocket, RI
National Provider Identifier
1306263041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 583
- Practice address
- 800 Clinton St
Woonsocket, RI 02895-3245 - Phone
- (401) 235-7000
- Fax
- (401) 767-9177
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 583 | RI | Primary |
Addresses
Primary practice location
800 Clinton St
Woonsocket, RI 02895-3245
Mailing address
PO Box 1700
Woonsocket, RI 02895-0856
Phone (401) 235-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583 | RI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1306263041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1700",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028950856",
"telephone_number": "401-235-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953245",
"telephone_number": "401-235-7000",
"fax_number": "401-767-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBBINS",
"first_name": "CHARLES",
"credential": "MA, COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.