Active NPI
Derek Laughlin, LMHC, MDIV, MA
- Mental Health Counselor
- East Providence, RI
National Provider Identifier
1366961856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00893
- Practice address
- 200 Taunton Ave
East Providence, RI 02914-4556 - Phone
- (401) 400-2475
- NPI assigned
- Sep 15, 2017
- Last updated
- Sep 15, 2017
- Sex
- Male
- Sole proprietor
- No
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 | MHC00893 | RI | Primary |
Addresses
Primary practice location
200 Taunton Ave
East Providence, RI 02914-4556
Mailing address
353 Ledge Rd
Seekonk, MA 02771-5112
Phone (214) 708-8168
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00893 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charassein Counseling Center LLC | Mental Health | Current | Accepting new patients |
| Paradigm Biblical Counseling | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Pawtucket, RI
- NPI 1437912946
-
- Mental Health Counselor
- East Providence, RI
- NPI 1578077210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505433600000",
"number": "1366961856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 LEDGE RD",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027715112",
"telephone_number": "214-708-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TAUNTON AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029144556",
"telephone_number": "401-400-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGHLIN",
"first_name": "DEREK",
"credential": "LMHC, MDIV, MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2017-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00893",
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.