Alyssa Boudreau, LMHC
Individual provider Active NPI Mental Health Counselor · Coventry, RI
NPI 1386112985 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1386112985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 577 Tiogue Ave
Coventry, RI 02816-5687 - Phone
- (401) 644-2819
- NPI assigned
- Nov 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RI | ||
| Mental Health Counselor | 101YM0800X | RI | Yes |
Addresses
Primary practice location
577 Tiogue Ave
Coventry, RI 02816-5687
Mailing address
114 School St Apt 3
Central Falls, RI 02863-1883
Phone (401) 644-2819
Other providers in Coventry, RI
- BKD New England Bay LLC
- Mark G Blasbalg
- Tammy Jean Bonanno
- Janet M Bood
- Kathie A Bouchard
- Kayla Lynn Bourbon
- Jimmette N Brooks
- Bridget Brothers
- Amanda Brown
- Shawn Brown
All providers in Coventry, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.