Mark Anthony Lemelin, LCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00936 Issued in RI

Practice address

55 Hope St
Providence, RI 02906-2001

Phone

(401) 331-1350

Fax

(401) 277-3385

NPI assigned

Mar 10, 2023

Sex

Male

Sole proprietor

No

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.

• Family Service of Rhode Island, Inc.

  • Adult Mental Health Clinic/Center
  • Providence, RI
  • NPI 1598833535
  NPD (past)
• Newport County Community Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, RI
  • NPI 1093713174
  NPD (past)

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1477254134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ADA ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029094906",
            "telephone_number": "508-280-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062001",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMELIN",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Leguizamo, PH.D.
• Sarah Marie Lehoux, APRN
• Ilda Leite
• Kristina Elizabeth Leite, MSW
• Edward Charles Leithead IV, MD, MBS
• Lauren Kathleen Lemke, PHARMD
• Brooke Lemme, PHYSICIAN ASSISTANT
• Lena D Karkalas DDS LTD
• Tara Lenahan
• Linette NG Leng

• Addiction (Substance Use Disorder) Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.