Individual provider Active NPI

Julio Filomeno, LMHC

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1518170745
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00358 Issued in RI
Practice address
160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone
(401) 722-5573
Fax
(401) 724-9735
NPI assigned
May 7, 2007
Last updated
May 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X MHC00358 RI Primary

Addresses

Primary practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Mailing address

160 Beechwood Ave
Pawtucket, RI 02860-5402
Phone (401) 722-5573

Other identifiers 1

IdentifierTypeStateIssuer
JF62084MedicaidRI

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
I20241119004841 RI Practitioner - Mental Health Counselor 5496280026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care AllianceGroup PAC ID 5193627982, 30 clinicians

Practice addresses (Care Compare)

800 Clinton St
Woonsocket, RI 02895-3245
Phone (401) 235-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC00358RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Alliance CurrentSince Aug 30, 2024 Accepting new patients
Gateway Healthcare, Inc Past Accepting new patients
Gateway Healthcare Inc Past Accepting new patients

Locations

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7021

800 Clinton St
Woonsocket, RI 02895
Phone (401) 235-7469

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1518170745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605402",
            "telephone_number": "401-722-5573",
            "fax_number": "401-724-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BEECHWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605402",
            "telephone_number": "401-722-5573",
            "fax_number": "401-724-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILOMENO",
        "first_name": "JULIO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JF62084",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.