Active NPI
Kipp R Lawrence, LMHC
- Mental Health Counselor
- Woonsocket, RI
National Provider Identifier
1508034208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00446
- Practice address
- 68 Cumberland St
Suite 102
Woonsocket, RI 02895-3300 - Phone
- (401) 356-1940
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 167 | RI | |
| Mental Health Counselor | 101YM0800X | MHC00446 | RI | Primary |
Addresses
Primary practice location
68 Cumberland St
Suite 102
Woonsocket, RI 02895-3300
Mailing address
68 Cumberland Street Suite 102
Woonsocket, RI 02895
Phone (401) 356-1940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167 | Other | RI | COUNSELOR |
| KL69638 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | RI | MD | Counselor |
| MHC00446 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1508034208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CUMBERLAND STREET SUITE 102",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-356-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CUMBERLAND ST",
"address_2": "SUITE 102",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953300",
"telephone_number": "401-356-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "KIPP",
"middle_name": "R",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "167",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR",
"identifier": "167",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KL69638",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.