Individual provider Active NPI

Tami Rene Jarvis, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Pawtucket, RI
National Provider Identifier
1417429788
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00744 Issued in RI
Practice address
183 Barton St
Pawtucket, RI 02860-1932
Phone
(401) 481-7196
NPI assigned
Dec 26, 2018
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00744 RI Primary

Addresses

Primary practice location

183 Barton St
Pawtucket, RI 02860-1932

Mailing address

28 King Philip St
Providence, RI 02909-5717
Phone (401) 481-7196

Other practice location 1

110 Elmwood Ave
Providence, RI 02907-2423
Phone (401) 300-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CDP00744RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy of the Journey Addiction (Substance Use Disorder) CurrentSince Mar 11, 2025 Accepting new patients
Caritas Inc. Past Accepting new patients
Gateway Healthcare Inc Past Accepting new patients

Organizations & group practices 3

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1417429788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KING PHILIP ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095717",
            "telephone_number": "401-481-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BARTON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601932",
            "telephone_number": "401-481-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029072423",
            "country_code": "US",
            "telephone_number": "401-300-5757",
            "fax_number": "401-300-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "TAMI",
        "middle_name": "RENE",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.