Individual provider Active NPI

Naydeen Raeone Kafalas, LMHC

  • Mental Health Counselor
  • Cumberland, RI
National Provider Identifier
1326214537
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00367 Issued in RI
Practice address
2138 Mendon Rd
Suite 104
Cumberland, RI 02864-3834
Phone
(401) 580-8452
NPI assigned
May 7, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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 MHC00367 RI Primary

Addresses

Primary practice location

2138 Mendon Rd
Suite 104
Cumberland, RI 02864-3834

Mailing address

425 Snake Hill Rd
Harrisville, RI 02830-1876
Phone (401) 580-8452

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC00367RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1326214537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SNAKE HILL RD",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028301876",
            "telephone_number": "401-580-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "SUITE 104",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-580-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFALAS",
        "first_name": "NAYDEEN",
        "middle_name": "RAEONE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.