Individual provider Active NPI

Joshua Adam Czerepica, LMHC

  • Mental Health Counselor
  • East Greenwich, RI
National Provider Identifier
1770120248
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01161 Issued in RI
Practice address
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Phone
(401) 785-0040
NPI assigned
Dec 4, 2019
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X MHC01161 RI Primary

Addresses

Primary practice location

1485 S County TRL Unit 107
East Greenwich, RI 02818-1771

Mailing address

100 Medway St
Providence, RI 02906-4402
Phone (401) 421-4100

Other practice location 1

65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Phone (401) 785-0040

Other practice location 2

100 Medway St
Providence, RI 02906-4402
Phone (401) 421-4100 ext. 131

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
I20240729000282 RI Practitioner - Mental Health Counselor 2860938669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Day One CurrentSince Dec 1, 2019 Accepting new patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jun 15, 2024 Accepting new patients

Locations

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

1485 S County Trl
Unit 107
East Greenwich, RI 02818
Phone (401) 258-1621

100 Medway St
Providence, RI 02906
Phone (401) 421-4100

65 Village Square Dr
Ste 302
South Kingstown, RI 02879
Phone (877) 321-0922

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

Organizations & group practices 2

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1770120248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDWAY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064402",
            "telephone_number": "401-421-4100",
            "fax_number": "401-454-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 S COUNTY TRL UNIT 107",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181771",
            "telephone_number": "401-785-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Village Square Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028792569",
            "country_code": "US",
            "telephone_number": "401-785-0040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medway St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064402",
            "country_code": "US",
            "telephone_number": "401-421-4100 x131",
            "fax_number": "401-454-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZEREPICA",
        "first_name": "JOSHUA",
        "middle_name": "ADAM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.