Individual provider Active NPI

Judith Anne Hart, LCDP

  • Mental Health Counselor
  • East Providence, RI
National Provider Identifier
1487664553
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00362 Issued in RI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
JL58361MedicaidRI

Other names 1

  • Ms. Judith Anne Legner Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LCDP00173RIMDAddiction (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

Verify at the official NPI Registry.