Active NPI
Tami Rene Jarvis, CADC
- Addiction (Substance Use Disorder) Counselor
- Pawtucket, RI
National Provider Identifier
1417429788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00744
- Practice address
- 183 Barton St
Pawtucket, RI 02860-1932 - Phone
- (401) 481-7196
- NPI assigned
- Dec 26, 2018
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00744 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy of the Journey | Addiction (Substance Use Disorder) | Current | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Pawtucket, RI
- NPI 1689471831
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pawtucket, RI
- NPI 1285766584
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
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.