Active NPI
Katie C. Anderson, LMHC
- Mental Health Counselor
- East Greenwich, RI
National Provider Identifier
1891843801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00317
- Practice address
- 1485 S County TRL Unit 107
East Greenwich, RI 02818-1771 - Phone
- (401) 785-0040
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00317 | RI | Primary |
Addresses
Primary practice location
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Mailing address
1485 S County TRL Unit 107
East Greenwich, RI 02818-1771
Phone (401) 785-0040
Other practice location 1
1000 Eddy St
Providence, RI 02905-4739
Phone (401) 533-9100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0614 | Other | RI | NHP RI |
| SB870 | Other | RI | BC RI |
| ES01788 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703002988 | RI | Practitioner - Mental Health Counselor | 4183168966 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00317 | RI | MD | Mental Health Counselor |
Interoperability endpoints
- lifestancehealth.katieanderson@151046.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1891843801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 S COUNTY TRL UNIT 107",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181771",
"telephone_number": "401-785-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 S COUNTY TRL UNIT 107",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181771",
"telephone_number": "401-785-0040"
}
],
"practiceLocations": [
{
"address_1": "1000 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029054739",
"country_code": "US",
"telephone_number": "401-533-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "KATIE",
"middle_name": "C.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP RI",
"identifier": "0614",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC RI",
"identifier": "SB870",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES01788",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.