Individual provider Active NPI

Kerri Lynn Kyriakakis, LCDP

  • Mental Health Counselor
  • West Warwick, RI
National Provider Identifier
1659549764
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCDP 00407 Issued in RI
Practice address
1 James P. Murphy Highway
West Warwick, RI 02893
Phone
(401) 615-0648
Fax
(401) 615-9540
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCDP 00407 RI Primary

Addresses

Primary practice location

1 James P. Murphy Highway
West Warwick, RI 02893

Mailing address

53 Holburn Ave
Cranston, RI 02910-5806
Phone (401) 383-6029

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

LicenseStateTypeSpecialty
LCDP 00407RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1659549764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HOLBURN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105806",
            "telephone_number": "401-383-6029",
            "fax_number": "401-615-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JAMES P. MURPHY HIGHWAY",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "02893",
            "telephone_number": "401-615-0648",
            "fax_number": "401-615-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAKAKIS",
        "first_name": "KERRI",
        "middle_name": "LYNN",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "LCDP 00407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.