Susan Heather Cosimini I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ISW02044 Issued in RI

Practice address

65 Park Ave
Portsmouth, RI 02871-4317

Phone

(401) 447-6601

NPI assigned

Jul 3, 2020

Last updated

Jul 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1861019077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PARK AVE",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714317",
            "telephone_number": "401-447-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PARK AVE",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714317",
            "telephone_number": "401-447-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSIMINI",
        "first_name": "SUSAN",
        "middle_name": "HEATHER",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "ISW02044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NPI",
            "identifier": "00000",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBER YET",
            "identifier": "00000",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBER YET",
            "identifier": "0000",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PORTSMOUTH",
            "affiliation": "N",
            "address_1": "65 Park Ave",
            "city": "Portsmouth",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028714317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counselor in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.