Andrea Agajanian
Individual provider Active NPI Mental Health Counselor · Warwick, RI
NPI 1477005809 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1477005809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MHC01106 (RI)
- Practice address
- 3670 W Shore Rd Unit 5
Warwick, RI 02886-5028 - Phone
- (401) 712-0411
- NPI assigned
- Nov 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11643 | MA | MD | Mental Health Counselor |
| MHC01106 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Foundations LLC | Mental Health | Current |
Accepting new patients |
Locations
3670 W Shore Rd
Warwick, RI 02886
Phone (401) 400-0879
3670 W Shore Rd
Unit 5
Warwick, RI 02886
Phone (401) 712-0411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11643 | MA | |
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | MHC01106 | RI | Yes |
Addresses
Primary practice location
3670 W Shore Rd Unit 5
Warwick, RI 02886-5028
Mailing address
3670 W Shore Rd Unit 5
Warwick, RI 02886-5028
Phone (401) 712-0411
Other providers in Warwick, RI
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- Advanced Ultrasound Mobile Imaging
- Aer Mental Wellness
- Aero Airport Limousine Service Inc
- Affinity Physicians LLC.
- Agape Counsiling Center Janice Archeer Sole MBR
- Saurabh Agarwal
- Dale Agostinelli
- Dylan S Aguiar
- Sarah Elizabeth Aguiar
All providers in Warwick, RI · Mental Health Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.