Individual provider Active NPI

Katie C. Anderson, LMHC

  • Mental Health Counselor
  • East Greenwich, RI
National Provider Identifier
1891843801
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00317 Issued in RI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0614OtherRINHP RI
SB870OtherRIBC RI
ES01788MedicaidRI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703002988 RI Practitioner - Mental Health Counselor 4183168966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC00317RIMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.