Nissa Slachek

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Virginia Ave
Providence, RI 02905-4443

Phone

(401) 724-8400

NPI assigned

Dec 12, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1619636115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BLODGETT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605621",
            "telephone_number": "347-423-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VIRGINIA AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054443",
            "telephone_number": "401-724-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACHEK",
        "first_name": "NISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pawtucket",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Virginia Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029054443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Elizabeth Skov, PHARMD
• Gail Skowron, M.D.
• SKR Psychotherapy, LLC
• Caroline Skudlarek, DO
• Boris Skurkovich, MD
• Carolyn Slack, M.S. C.G.C.
• Tara A Slack, OTR L
• Jeffrey M. Slaiby, MD
• John Slate-Romano
• Ellen Jane Slater, N.P.

• Mental Health Counselor in Providence, RI
• Providers in Providence, 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 Dec 12, 2021; 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.