Jessica Kleib Krizman, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC01356 Issued in RI

Practice address

5 Sheffield Ave
North Providence, RI 02911-3314

Phone

(508) 223-7590

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

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

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Healthcare IncGroup PAC ID 7719874908, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gateway Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawtucket, RI
  • NPI 1821078932
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1396489035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHEFFIELD AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113314",
            "telephone_number": "508-223-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SHEFFIELD AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113314",
            "telephone_number": "508-223-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZMAN",
        "first_name": "JESSICA",
        "middle_name": "KLEIB",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Kelly Kinsella, MSW, CGS
• Andrew Kociubuk, APNP
• Kendra-Lynn Elizabeth Kohanski, DPT, PT
• Kpuma Counseling & Consulting LLC
• Karen Krause, CRNA
• Manyuan Kromah, M.S.W.
• Rita S. Kurl, M.D.
• Amy G. Lafontaine, P.A.
• Michael Anthony Lancellotti, D.C.
• Thomas Matthew Landry, M.S., CCC-SLP

• Mental Health Counselor in North Providence, RI
• Providers in North Providence, 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 Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.