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Jocelyn Hernandez

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI 1861279424 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1861279424
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDP00931 (RI)
Practice address
460 Pine St
Providence, RI 02907-1358
Phone
(401) 272-0220
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CDP00931RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amos House Current
since Apr 25, 2024		 Accepting new patients
Amos House Past
since Sep 10, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00931 RI Yes

Addresses

Primary practice location

460 Pine St
Providence, RI 02907-1358

Mailing address

460 Pine St
Providence, RI 02907-1358

Other providers in Providence, RI

All providers in Providence, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.