Individual provider Active NPI

Brian K Fletcher, LCDP, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Cumberland, RI
National Provider Identifier
1447814835
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP01070 Issued in RI
Practice address
45 Industrial Rd Ste 100
Cumberland, RI 02864-4742
Phone
(508) 625-0998
Fax
(401) 679-6193
NPI assigned
May 1, 2019
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP01070 RI Primary
Clinical Social Worker 1041C0700X CSW04393 RI

Addresses

Primary practice location

45 Industrial Rd Ste 100
Cumberland, RI 02864-4742

Mailing address

45 Industrial Rd Ste 100
Cumberland, RI 02864-4742
Phone (508) 625-0998

Other practice location 1

800 Clinton St
Woonsocket, RI 02895-3245
Phone (401) 235-7000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faithful Connections Christian Counseling LLC Addiction (Substance Use Disorder) Current Accepting new patients
Light House Behavioral Health and Wellness Center Inc. PastSince Apr 1, 2023 Accepting new patients

Locations

45 Industrial Rd
Ste 100
Cumberland, RI 02864
Phone (401) 368-1281

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1447814835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL RD STE 100",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644742",
            "telephone_number": "508-625-0998",
            "fax_number": "401-679-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL RD STE 100",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644742",
            "telephone_number": "508-625-0998",
            "fax_number": "401-679-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953245",
            "country_code": "US",
            "telephone_number": "401-235-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "LCDP, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP01070",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW04393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.