Organization Active NPI

Inneract

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1497630057
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNERACT
Practice address
331 Broadway
Providence, RI 02909-1101
Phone
(401) 757-0142
NPI assigned
Aug 11, 2025
Last updated
Dec 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Annarose SquillanteNPI 1770201576
Title
Owner
Phone
(401) 757-0142

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

331 Broadway
Providence, RI 02909-1101

Mailing address

21 West St
Providence, RI 02903-3555

National Provider Directory

National Provider Directory

Locations

171 Chestnut St
Providence, RI 02903

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": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1497630057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091101",
            "telephone_number": "401-757-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "SQUILLANTE",
        "authorized_official_first_name": "ANNAROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-757-0142"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.