Individual provider Active NPI

Samara Basilone, LMHC

  • Mental Health Counselor
  • Greenville, RI
National Provider Identifier
1699217968
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01738 Issued in RI
Practice address
7 Austin Ave
Greenville, RI 02828-1520
Phone
(401) 349-3131
Fax
(401) 921-5109
NPI assigned
Nov 17, 2016
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 MHC01738 RI Primary

Addresses

Primary practice location

7 Austin Ave
Greenville, RI 02828-1520

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (401) 785-0040

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
I20250312001164 RI Practitioner - Mental Health Counselor 3779004379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Feb 6, 2025 Accepting new patients
Community Health Resources, Inc. Past Accepting new patients
Gershon Psychological Associates, LLC PastSince Feb 6, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

Organizations & group practices 3

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1699217968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "401-785-0040",
            "fax_number": "401-921-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AUSTIN AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281520",
            "telephone_number": "401-349-3131",
            "fax_number": "401-921-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILONE",
        "first_name": "SAMARA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

Verify at the official NPI Registry.