Bianca Ann Dutra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW02772 Issued in RI

Practice address

21 Whirlaway PL
Pawtucket, RI 02861-4302

Phone

(401) 935-0892

NPI assigned

Feb 23, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1568228906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHIRLAWAY PL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614302",
            "telephone_number": "401-935-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WHIRLAWAY PL",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028614302",
            "telephone_number": "401-935-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTRA",
        "first_name": "BIANCA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "CSW02772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Duphiney, RN
• Michaela Regina Duquenoy, PA
• Kevin Terrence Durant II, LICSW
• Mary Durigan, DPT
• Albert Dussault, LICMHC
• Sylvie Duverseau, LCSW
• Mari-Beth Dziadosz
• Walter Matthew Dzialo, D.D.S.
• East Bay Counsling Center, Inc..
• East Bay Neurology Professional Corporation

• Mental Health Counselor in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.