Nina T Soares LMHC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NINA T SOARES LMHC LLC

Practice address

1224 W Main Rd
Middletown, RI 02842-6397

Phone

(774) 644-0972

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nina Taize Soares, LMHCNPI 1225620065

Title

Manager/Owner

Phone

(774) 930-6729

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina Taize Soares, LMHC

  • Mental Health Counselor
  • Middletown, RI
  • NPI 1225620065
  Medicare reassignment NPD Authorized official
• Claudia Hanley, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Warwick, RI
  • NPI 1083585251

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1720808181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PURCHASE ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027775037",
            "telephone_number": "774-930-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426397",
            "telephone_number": "774-644-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA T SOARES LMHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "TAIZE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "774-930-6729",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Middletown, RI
• Providers in Middletown, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.