Carol Ann Gendron Gillen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00675 Issued in RI

Practice address

28 Cedar Swamp Rd
Unit 206
Smithfield, RI 02917-2447

Phone

(401) 222-9882

Fax

(401) 648-4854

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carol a. G. Gillen, LMHC, LLCGroup PAC ID 1850735580, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carol a. G. Gillen, LMHC, LLC

  • Mental Health Counselor
  • Smithfield, RI
  • NPI 1336619006

  Mental Health, RI

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1821494915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CEDAR SWAMP RD",
            "address_2": "UNIT 206",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172447",
            "telephone_number": "401-222-9882",
            "fax_number": "401-648-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CEDAR SWAMP RD",
            "address_2": "UNIT 206",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172447",
            "telephone_number": "401-222-9882",
            "fax_number": "401-648-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "CAROL",
        "middle_name": "ANN GENDRON",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gaines, MD
• Gateways to Change, Inc
• Georgiaville Manor Apartments
• Leia Sabelle Getchell, PMHNP-BC
• Lauren Giampietro, DPT
• Bakhoum Girgis, D.M.D.
• Kerry L Giroux, MSPT
• Dylan Gene Godyn, PA-C
• Connie Denise Graber, PSY.D.
• Melanie Sarah Gran, ATC

• All providers in Smithfield, RI
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.