Active NPI
Judith Anne Hart, LCDP
- Mental Health Counselor
- East Providence, RI
National Provider Identifier
1487664553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00362
- Practice address
- 610 Wampanoag Trail
East Providence, RI 02915 - Phone
- (401) 431-9870
- Fax
- (401) 435-7486
- NPI assigned
- Aug 9, 2006
- Last updated
- May 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP00173 | RI | |
| Mental Health Counselor | 101YM0800X | MHC00362 | RI | Primary |
Addresses
Primary practice location
610 Wampanoag Trail
East Providence, RI 02915
Mailing address
163 Slater Park Ave
Pawtucket, RI 02861-3213
Phone (401) 440-0472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JL58361 | Medicaid | RI |
Other names 1
- Ms. Judith Anne Legner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240617000858 | RI | Practitioner - Mental Health Counselor | 2062955263 | Practice locations: East Greenwich, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 Main St
Suite 203
East Greenwich, RI 02818-3861
Phone (401) 225-2558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDP00173 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1487664553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 SLATER PARK AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028613213",
"telephone_number": "401-440-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WAMPANOAG TRAIL",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-431-9870",
"fax_number": "401-435-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JUDITH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP00173",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JL58361",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "LEGNER",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "LCDP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.