Earl Robert Gauthier, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC01051 Issued in RI

Practice address

1 Pine Acres Blvd
Coventry, RI 02816-8246

Phone

(401) 249-0192

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Supportive Care I of Rhode Island PC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1912666454
  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1316063738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINE ACRES BLVD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168246",
            "telephone_number": "401-206-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINE ACRES BLVD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168246",
            "telephone_number": "401-249-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "EARL",
        "middle_name": "ROBERT",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Winds Chiropractic, Inc. (Four Winds Chiropractic)
• Joseph Alan Franco Sr., RPH
• Ann Funicello, LICSW
• Jennifer Gagnon, PHARMD
• Jacqueline Duldulao Ganiron, PT, DPT
• Dmitry Z Gelfand, DDS
• Genesis
• Ellen Cookie Gilchrist, RN, BSN, CDOE
• Karen Gilmartin, RPH
• James E Ginda, MA, RRT, AE-C, FAARC

• Mental Health Counselor in Coventry, RI
• Providers in Coventry, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.