Organization Active NPI

Island Counseling Services, LLC

  • Mental Health Counselor
  • Middletown, RI
National Provider Identifier
1396509022
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ISLAND COUNSELING SERVICES, LLC
Practice address
575 E Main Rd Unit 3a
Middletown, RI 02842-5288
Phone
(401) 344-9027
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kate Keelty, LMHCNPI 1922207646
Title
Licensed Mental Health Counselor
Phone
(401) 344-9027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

575 E Main Rd Unit 3a
Middletown, RI 02842-5288

Mailing address

444 Water St
Portsmouth, RI 02871-4227
Phone (401) 225-7586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327003819 RI Part B Supplier - Clinic/Group Practice 8224475025 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, RI

National Provider Directory

National Provider Directory

Locations

575 E Main Rd
Unit 3A
Middletown, RI 02842
Phone (401) 344-4683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1396509022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WATER ST",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714227",
            "telephone_number": "401-225-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E MAIN RD UNIT 3A",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425288",
            "telephone_number": "401-344-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "KEELTY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "401-344-9027",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.