Nicholas Ahern, LMHC

Key facts

NPI

1861035487

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

MHC01095 (RI)

Practice address

59 Woody Hill Rd
Hope Valley, RI 02832-1254

Phone

(401) 536-4764

NPI assigned

Oct 27, 2019

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 27, 2023.

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1861035487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029201410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 WOODY HILL RD",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321254",
            "telephone_number": "401-536-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141317",
            "country_code": "US",
            "telephone_number": "401-475-9979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHERN",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC01095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolyn Ruth Blackman, MD

All providers in Hope Valley, RI · Marriage & Family Therapist in Rhode Island