Individual provider Active NPI

Wunesh Woldeselassie Bairu, LMHC

  • Mental Health Counselor
  • Barrington, RI
National Provider Identifier
1407878432
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00533 Issued in RI
Practice address
60 Bay Spring Ave Unit B1
Barrington, RI 02806-1386
Phone
(401) 246-0214
NPI assigned
Jul 25, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00533 RI Primary

Addresses

Primary practice location

60 Bay Spring Ave Unit B1
Barrington, RI 02806-1386

Mailing address

104 Roffee St
Barrington, RI 02806-3030
Phone (401) 289-0113

Other identifiers 1

IdentifierTypeStateIssuer
MHC00533OtherRISTATE LICENSE NUMBER

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
I20240208001256 RI Practitioner - Mental Health Counselor 0244673093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Counseling Associates LLCGroup PAC ID 7618219544, 42 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Suite 203
Cranston, RI 02920-6043
Phone (401) 259-0340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC Mental Health CurrentSince Jan 4, 2024 Accepting new patients
Pathways Wellness Center LLC Past Accepting new patients

Locations

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10672/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1407878432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROFFEE ST",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063030",
            "telephone_number": "401-289-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BAY SPRING AVE UNIT B1",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061386",
            "telephone_number": "401-246-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRU",
        "first_name": "WUNESH",
        "middle_name": "WOLDESELASSIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MHC00533",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

Verify at the official NPI Registry.