Individual provider Active NPI

Paula Cofoni, MA,BSW,LCDP, CCJP

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1376557207
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2020 Elmwood Avenue
Bridgemark
Warwick, RI 02888
Phone
(401) 781-2700
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Vine St
East Greenwich, RI 02818-3613
Phone (401) 886-5295

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210518002274 RI Practitioner - Clinical Social Worker 0840699146 Practice locations: East Greenwich, RI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00380RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgemark, Inc Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00380 RI
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

2020 Elmwood Avenue
Bridgemark
Warwick, RI 02888

Mailing address

2020 Elmwood Avenue
Bridgemark
Warwick, RI 02888
Phone (401) 781-2700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 2, 2014.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1376557207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ELMWOOD AVENUE",
            "address_2": "BRIDGEMARK",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02888",
            "telephone_number": "401-781-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ELMWOOD AVENUE",
            "address_2": "BRIDGEMARK",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02888",
            "telephone_number": "401-781-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFONI",
        "first_name": "PAULA",
        "credential": "MA,BSW,LCDP, CCJP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "00380",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.