Individual provider Active NPI

Jeremy Cocozza Martins, M.ED.

  • Counselor
  • Warwick, RI
National Provider Identifier
1669980900
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
269 Merrymount Dr
Warwick, RI 02888-5524
Phone
(401) 487-0828
NPI assigned
Jan 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

269 Merrymount Dr
Warwick, RI 02888-5524

Mailing address

269 Merrymount Dr
Warwick, RI 02888-5524

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
I20240521000558 RI Practitioner - Mental Health Counselor 7214379486 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Behavioral Health CurrentSince Apr 15, 2024 Accepting new patients

Locations

5898 Ridgewood Rd
Ste E
Jackson, MS 39211
Phone (401) 447-9446

1329 Jefferson Blvd
Warwick, RI 02886
Phone (401) 447-9446

200 Toll Gate Rd
Ste 103
Warwick, RI 02886
Phone (401) 447-9446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1669980900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MERRYMOUNT DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 MERRYMOUNT DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885524",
            "telephone_number": "401-487-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "JEREMY",
        "middle_name": "COCOZZA",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.