Active NPI
Janet G. Marquez, LMFT
- Marriage & Family Therapist
- Cranston, RI
National Provider Identifier
1780749010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT00055
- Practice address
- 1500 Pontiac Ave
Cranston, RI 02920 - Phone
- (401) 419-0627
- Fax
- (401) 737-0830
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT00055 | RI | Primary |
Addresses
Primary practice location
1500 Pontiac Ave
Cranston, RI 02920
Mailing address
1500 Pontiac Ave
Cranston, RI 02920
Phone (401) 419-0627
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22408-4 | Other | RI | BLUE CROSS BLUE SHIELD |
| JM06909 | Medicaid | RI | |
| 410988 | Other | RI | BLUE CHIP |
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 |
|---|---|---|---|
| MFT00055 | RI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1780749010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-419-0627",
"fax_number": "401-737-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-419-0627",
"fax_number": "401-737-0830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JANET",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "RI",
"license": "MFT00055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22408-4",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JM06909",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410988",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.