Aidan Glass

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00229-A Issued in RI

Practice address

120 Webster St
Pawtucket, RI 02861-1168

Phone

(401) 250-1730

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fellowship Health Resources, Inc

  dba Elwyn Adult Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680
  NPD (past)

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1366325938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WEBSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611168",
            "telephone_number": "401-250-1730",
            "fax_number": "401-250-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEBSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611168",
            "telephone_number": "401-250-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Sockanosset Cross Rd",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205529",
            "country_code": "US",
            "telephone_number": "401-383-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "AIDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00229-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Gilbert-Hall, LICSW
• Peter S. Gill, MD
• Steffen Glenn Gillom, PHD, LMFT
• Maureen Giordano, RN
• Laurice Girouard, LICSW
• Michael Glassman, DPT
• Glenn S. Prescod, M.D., M.P.H., Inc.
• Nicole Elizabeth Gleyzer, D.O.
• Gods Own Holistic Behavioral Counseling PC
• Holly Jean Goff

• Mental Health Counselor in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 30, 2025; 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.