Active NPI
Susan Aubut, MA
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1760628945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00589
- Practice address
- 520 Hope St
Providence, RI 02906-2532 - Phone
- (401) 276-4000
- NPI assigned
- Dec 18, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | MHC00589 | RI | Primary |
Addresses
Primary practice location
520 Hope St
Providence, RI 02906-2532
Mailing address
528 N Main St
Providence, RI 02904-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228001139 | RI | Practitioner - Mental Health Counselor | 4880039031 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Susan Aubut | Mental Health | Current | Accepting new patients |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| The Providence Center Inc | Counselor | Past | Accepting new patients |
Locations
105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Interoperability endpoints
- saubut166680@brownhealth.medalliesdirect.net
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Riverside, RI
- NPI 1073705943
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Providence, RI
- NPI 1104847946
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1760628945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 HOPE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062532",
"telephone_number": "401-276-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBUT",
"first_name": "SUSAN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-18",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PROVIDENCE CENTER NPI",
"identifier": "1104847946",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.