Johanny Matos Ciprian

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00996 Issued in RI

Practice address

1020 Park Ave
Providence, RI 02910-3227

Phone

(401) 396-7649

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Directions for Life Inc

  • Social Worker
  • Cranston, RI
  • NPI 1427432137
  NPD
• Diversity Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cranston, RI
  • NPI 1033868930

  Addiction (Substance Use Disorder)

  NPD
• Dr Joanne L Doucette Psychological Services Inc

  • Psychologist
  • Providence, RI
  • NPI 1104051176
  NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1548098882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029103227",
            "telephone_number": "401-396-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS CIPRIAN",
        "first_name": "JOHANNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Mathieu, M.D.
• Chalice Mathioudakis
• Christopher Martin Matkovic, MD
• Jessica N Matook, LCSW
• Sherry A Matook, APRN,CNP
• Amy M Matos, LICSW
• Humberto Jose Matos, DAOM
• Deborah C Matson, MSW
• Amanda Hovey Matteson, PA-C
• Kimberly Rose Matteson, CRNA, DNAP

• All providers in Providence, RI
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.