Kenneth Arnold Weeden Jr., L.C.D.P. , C.C.D.P.D

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDP00467 Issued in RI

Practice address

610 Wampanoag TRL
East Providence, RI 02915-1504

Phone

(401) 431-9870

Fax

(401) 438-1957

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• East Bay Community Action Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, RI
  • NPI 1487916136
  NPD (past)
• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1558319731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-431-9870",
            "fax_number": "401-438-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-431-9870",
            "fax_number": "401-438-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEDEN",
        "first_name": "KENNETH",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.D.P. , C.C.D.P.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI DEPT. OF HEALTH",
            "identifier": "101YA0400X",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KW31753",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Ware, MS
• Michael Cecil Warren
• Waterview Ri SNF, LLC (Waterview Villa Rehabilitation & Health Care Center)
• We Care for Kids Dental, Inc
• Shawn Buxton Wedderburn
• Marilyn Weigner, MD
• Toby Fingeroth Weiser, PA-C
• Elizabeth K Welch, NP
• Danielle Welchman, DPT, PT
• Mary-Beth A Welesko, NP

• Addiction (Substance Use Disorder) Counselor in East Providence, RI
• Providers in East Providence, RI by specialty
• 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 Jan 13, 2010; 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.