Placid Soul Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PLACID SOUL COUNSELING, LLC

Doing business as

Jennifer Prendergast, LMHC, LLC

Practice address

908 Reservoir Ave
Cranston, RI 02910-4400

Phone

(401) 862-8848

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Mary Prendergast, LMHCNPI 1124685227

Title

Owner

Phone

(845) 325-2781

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Prendergast, LMHC, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Mary Prendergast, LMHC

  • Mental Health Counselor
  • North Providence, RI
  • NPI 1124685227
  NPD Authorized official
• Nicole Walsh

  • Clinical Social Worker
  • Cranston, RI
  • NPI 1457050676
  NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1891426524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104400",
            "telephone_number": "401-862-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACID SOUL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-325-2781",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Prendergast, LMHC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Pirrello, OTR/L
• Marissa Piteo
• Susan Pitt, PA
• John Salvatore Pizzolato, OTR
• Joseph Pizzuti
• Play the ABA Way
• Alyssa Ann Plouff, OTR/L
• Regina Plover, MD
• Helene L Pniewski, M.D.
• Michael John Poirier

• Mental Health Counselor in Cranston, RI
• Providers in Cranston, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.