Active NPI
Christina M Berard, LMHC, LCDP, MAC
- Mental Health Counselor
- Johnston, RI
National Provider Identifier
1740567148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00902
- Practice address
- 1395 Atwood Ave Ste 209D
Johnston, RI 02919-4931 - Phone
- (401) 241-9944
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00643 | RI | |
| Mental Health Counselor | 101YM0800X | MHC00902 | RI | Primary |
Addresses
Primary practice location
1395 Atwood Ave Ste 209D
Johnston, RI 02919-4931
Mailing address
79 Dewey St Apt 2R
Woonsocket, RI 02895-7415
Phone (401) 996-5487
Other practice location 1
111 Howard Ave Bldg 56
Cranston, RI 02920-3001
Phone (401) 462-1020
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00643 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| MHC00902 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendetti Wellness Group, PC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Framingham, MA
- NPI 1952836546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1740567148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 DEWEY ST APT 2R",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028957415",
"telephone_number": "401-996-5487",
"fax_number": "401-216-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 ATWOOD AVE STE 209D",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029194931",
"telephone_number": "401-241-9944"
}
],
"practiceLocations": [
{
"address_1": "111 Howard Ave Bldg 56",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029203001",
"country_code": "US",
"telephone_number": "401-462-1020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERARD",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMHC, LCDP, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00643",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.