Emma Livingston Reilly, LMHC
Individual provider Active NPI Professional Counselor · Providence, RI
NPI 1609299478 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1609299478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- MHC01056 (RI)
- Practice address
- 55 Hope St
Providence, RI 02906-2001 - Phone
- (401) 331-1350
- NPI assigned
- Jan 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport County Community Mental Health Center, Inc.
Practice addresses (Care Compare)
65 Valley Rd
Middletown, RI 02842-5234
Phone 40184612131117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240110000319 | RI | Practitioner - Mental Health Counselor | 5193176527 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC01056 | RI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport County Community Mental Health Center, Inc | Current |
Accepting new patients |
Locations
42 Valley Rd
Middletown, RI 02842
Phone (401) 843-1213
127 Johnny Cake Hill Rd
Middletown, RI 02842
65 Valley Rd
Middletown, RI 02842
Phone (401) 431-9870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | MHC01056 | RI | Yes |
Addresses
Primary practice location
55 Hope St
Providence, RI 02906-2001
Mailing address
55 Hope St
Providence, RI 02906-2001
Phone (401) 999-0432
Other practice location 1
1082 Davol St
Fall River, MA 02720-1124
Phone (508) 678-2833
Other providers in Providence, RI
- Cerena Reid-Maynard
- Emma Margaret Reid
- Indira Bela Reid
- Lisa Reidsema
- Ilya Reikhrud
- Erinn Nicole Reilly
- Kathleen Reilly
- Kimberly Lynn Reilly
- Lauren Elizabeth Reilly
- Daniella P Reimann
All providers in Providence, RI · Professional Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.