Active NPI
Inneract
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1497630057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annarose Squillante
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Providence, RI
- NPI 1770201576
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
- Tyler Andrew Ingham, AGACNP
- James W. Ingraham, MD
- Katherine Mariah Ingram, PHD, LP
- Kendra Anne Inkley
- Inner Wisdom Teletherapy, LLC
- Innerbloom Psychology LLC
- Innovate Health Solutions, LLC (Innovative Health Solutions, LLC)
- Innovative Health & Well Being, LLC
- Insight Neuropsychology LLC
- Integrated Patient Solutions of Rhode Island, P.C.
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.