Active NPI
Barbara Fioravanti, LCDP/LMHC
- Mental Health Counselor
- Pawtucket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC
- Practice address
- 101 Bacon Street
Pawtucket, RI 02860 - Phone
- (401) 722-3560
- Fax
- (401) 724-3120
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMHC | RI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP00070 | RI |
Addresses
Primary practice location
101 Bacon Street
Pawtucket, RI 02860
Mailing address
101 Bacon Street
Pawtucket, RI 02860
Phone (401) 722-3560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-12328 | Other | RI | UNITED BEHAVIORAL HEALTH |
| BF41007 | Medicaid | RI | |
| 30342 | Other | RI | BLUE CROSS SUBSTANCE ABUS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 -103 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 722-3560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDP00070 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| LMHC | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Current | Accepting new patients |
Locations
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560
101 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1 Virginia Ave
Ste 200
Providence, RI 02905
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1497976757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BACON STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-722-3560",
"fax_number": "401-724-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BACON STREET",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "02860",
"telephone_number": "401-722-3560",
"fax_number": "401-724-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORAVANTI",
"first_name": "BARBARA",
"credential": "LCDP/LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "LMHC",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP00070",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-12328",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BF41007",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SUBSTANCE ABUS",
"identifier": "30342",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.