Active NPI
Scott Robert Tellier, M.S.,LCMHC
- Mental Health Counselor
- North Kingstown, RI
National Provider Identifier
1467514224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00098
- Practice address
- 191 W Main St
North Kingstown, RI 02852-5115 - Phone
- (401) 294-6050
- Fax
- (401) 294-6090
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00098 | RI | Primary |
Addresses
Primary practice location
191 W Main St
North Kingstown, RI 02852-5115
Mailing address
191 W Main St
North Kingstown, RI 02852-5115
Phone (401) 294-6050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22608-8 | Other | RI | BLUE CROSS |
| 62-62525 | Other | RI | UNITED HEALTHCARE OF N.E. |
| 406647 | Other | RI | BLUE CHIP |
| 1029690 | Other | RI | BEACON HEALTH STRATEGIES |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00098 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467514224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 W MAIN ST",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028525115",
"telephone_number": "401-294-6050",
"fax_number": "401-294-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 W MAIN ST",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028525115",
"telephone_number": "401-294-6050",
"fax_number": "401-294-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLIER",
"first_name": "SCOTT",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "M.S.,LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "22608-8",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF N.E.",
"identifier": "62-62525",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406647",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1029690",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.