Individual provider Active NPI

Edward Joseph Ferreira

  • Addiction (Substance Use Disorder) Counselor
  • Portsmouth, RI
National Provider Identifier
1306367412
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
666 Issued in RI
Practice address
447 Bristol Ferry Rd
Portsmouth, RI 02871-1931
Phone
(401) 862-2553
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 666 RI Primary

Addresses

Primary practice location

447 Bristol Ferry Rd
Portsmouth, RI 02871-1931

Mailing address

447 Bristol Ferry Rd
Portsmouth, RI 02871-1931
Phone (401) 862-2553

Other practice location 1

11 King Charles Dr Ste A2
Portsmouth, RI 02871-1364
Phone (401) 683-0857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
666RIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1306367412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 BRISTOL FERRY RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711931",
            "telephone_number": "401-862-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BRISTOL FERRY RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711931",
            "telephone_number": "401-862-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 King Charles Dr Ste A2",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "RI",
            "postal_code": "028711364",
            "country_code": "US",
            "telephone_number": "401-683-0857",
            "fax_number": "401-293-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.