Individual provider Active NPI

Nadia M Evora, MS, LMHC, LCDP, CCSP

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1306356407
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01562 Issued in RI
Practice address
1 Richmond SQ Ste 300E
Providence, RI 02906-5160
Phone
(401) 349-3131
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 MHC01562 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 300E
Providence, RI 02906-5160

Mailing address

154 Waterman St Ste 10
Providence, RI 02906-3116
Phone (401) 205-4377

Other practice location 1

63 Eddie Dowling Hwy Ste 7
North Smithfield, RI 02896-7322
Phone (401) 766-9400

Other practice location 2

154 Waterman St Ste 10
Providence, RI 02906-3116
Phone (401) 205-4377

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
I20240131002586 RI Practitioner - Mental Health Counselor 8022461565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

154 Waterman St
Suite 10
Providence, RI 02906-3116
Phone (401) 205-4377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MHC01562RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance CurrentSince Jan 1, 2024 Accepting new patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1 Richmond Sq
Ste 300E
Providence, RI 02906
Phone (401) 481-8351

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330

800 Clinton St
Woonsocket, RI 02895
Phone (401) 235-7469

Organizations & group practices 2

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1306356407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST STE 10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-205-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 300E",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065160",
            "telephone_number": "401-349-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Eddie Dowling Hwy Ste 7",
            "address_purpose": "LOCATION",
            "city": "North Smithfield",
            "state": "RI",
            "postal_code": "028967322",
            "country_code": "US",
            "telephone_number": "401-766-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "154 Waterman St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029063116",
            "country_code": "US",
            "telephone_number": "401-205-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVORA",
        "first_name": "NADIA",
        "middle_name": "M",
        "credential": "MS, LMHC, LCDP, CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.