Individual provider Active NPI

Nicholas James Robenhymer, LMHC

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1851930804
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC01105 Issued in RI
Practice address
765 Westminster St Ste 204
Providence, RI 02903-4082
Phone
(501) 400-2970
NPI assigned
Dec 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01105 RI Primary

Addresses

Primary practice location

765 Westminster St Ste 204
Providence, RI 02903-4082

Mailing address

765 Westminster St Ste 204
Providence, RI 02903-4082
Phone (401) 400-2970

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

LicenseStateTypeSpecialty
MHC01105RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Rhode Clinical Services, LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

765 Westminster St
Ste 204
Providence, RI 02903
Phone (401) 400-2970

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.

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1851930804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WESTMINSTER ST STE 204",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034082",
            "telephone_number": "401-400-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WESTMINSTER ST STE 204",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034082",
            "telephone_number": "501-400-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBENHYMER",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01105",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.