Organization Active NPI

Growing Forward, Inc.

  • Mental Health Counselor
  • Westerly, RI
National Provider Identifier
1487193827
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00300 Issued in RI
Legal business name
GROWING FORWARD, INC.
Practice address
21 Canal St
#201
Westerly, RI 02891-1587
Phone
(401) 596-8830
Fax
(401) 596-8802
NPI assigned
Feb 17, 2017
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Lauri MaynardNPI 1245389220
Title
Owner
Phone
(401) 596-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MHC00300 RI Primary

Addresses

Primary practice location

21 Canal St
#201
Westerly, RI 02891-1587

Mailing address

111 Pawcatuck Ave
Pawcatuck, CT 06379-2432
Phone (401) 596-8830

National Provider Directory

National Provider Directory

Locations

21 Canal St
#201
Westerly, RI 02891
Phone (401) 596-8830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1487193827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PAWCATUCK AVE",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063792432",
            "telephone_number": "401-596-8830",
            "fax_number": "401-596-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CANAL ST",
            "address_2": "#201",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911587",
            "telephone_number": "401-596-8830",
            "fax_number": "401-596-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING FORWARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-596-8830"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.