Active NPI
Faye Sotirakis
- Mental Health Counselor
- East Providence, RI
National Provider Identifier
1336176536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MCH00302
- Practice address
- 610 Wampanoag Trail
East Providence, RI 02915 - Phone
- (401) 431-9870
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MCH00302 | RI | Primary |
Addresses
Primary practice location
610 Wampanoag Trail
East Providence, RI 02915
Mailing address
29 Lincoln Ave
Barrington, RI 02806
Phone (401) 569-8491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F553299 | Medicaid | RI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MCH00302 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336176536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LINCOLN AVE",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "02806",
"telephone_number": "401-569-8491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WAMPANOAG TRAIL",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-431-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTIRAKIS",
"first_name": "FAYE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MCH00302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F553299",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.