Nicole Marshall Concha, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00676 Issued in RI

Practice address

100 Medway St
Providence, RI 02906-4402

Phone

(401) 421-4100

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Day One

  • Clinical Social Worker
  • Providence, RI
  • NPI 1164633038
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1447657440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL CONCHA",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digna Marrero, LCDP, RCS
• Jeanine Marrocco, RN
• Carolina Marroquin, MS, CCC-SLP
• Karen Marsella
• Linda A Marsella, CRNA
• Helena Danielle Marshall, LICSW, CADC, CGAC
• Marc Marshall, D.C.
• Stephanie N Marshall, LICSW
• Mary Alyson Marsilio
• Cristina Maria Marsocci

• Mental Health Counselor in Providence, RI
• Providers in 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 Aug 10, 2015; 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.