Active NPI
Jose L Cabrera, LMSW
- Counselor
- Providence, RI
National Provider Identifier
1629109459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 068951
- Practice address
- 355 Prairie Ave
Providence, RI 02905-1928 - Phone
- (401) 415-8844
- Fax
- (401) 383-5737
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 068951 | NY | Primary |
Addresses
Primary practice location
355 Prairie Ave
Providence, RI 02905-1928
Mailing address
355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 415-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136167177 | Other | NY | FIDELIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068951 | NY | MD | Counselor |
Interoperability endpoints
- joseluis.cabrera.p1@direct.bvchc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1629109459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051928",
"telephone_number": "401-415-8844",
"fax_number": "401-383-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051928",
"telephone_number": "401-415-8844",
"fax_number": "401-383-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "JOSE",
"middle_name": "L",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "068951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "136167177",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.