Individual provider Active NPI

Joyce L Lafazia Heimbecker, LMHC

  • Mental Health Counselor
  • Cranston, RI
National Provider Identifier
1669440095
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00056 Issued in RI
Practice address
1090 New London Ave
Cranston, RI 02920-3035
Phone
(401) 463-5778
Fax
(401) 463-3582
NPI assigned
Mar 10, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00208 RI
Mental Health Counselor 101YM0800X MHC00056 RI Primary

Addresses

Primary practice location

1090 New London Ave
Cranston, RI 02920-3035

Mailing address

1090 New London Ave
Cranston, RI 02920-3035
Phone (401) 463-5778

Other identifiers 2

IdentifierTypeStateIssuer
COP00208OtherRICHEMICAL DEPENDANCY PROF
MHC00056OtherRIMENTAL HEALTH COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129003534 RI Practitioner - Mental Health Counselor 0749633485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quality Behavioral HealthGroup PAC ID 7113968694, 22 clinicians

Practice addresses (Care Compare)

75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP00208RIMDAddiction (Substance Use Disorder) Counselor
MHC00056RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Jan 31, 2024 Accepting new patients

Locations

1090 New London Ave
Cranston, RI 02920
Phone (401) 463-5778

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1669440095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAZIA HEIMBECKER",
        "first_name": "JOYCE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00208",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHEMICAL DEPENDANCY PROF",
            "identifier": "COP00208",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "MHC00056",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.