Organization Active NPI

Greater Ri Addiction Services

Doing business as none

  • Addiction (Substance Use Disorder) Counselor
  • Cranston, RI
National Provider Identifier
1902085467
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCDP00390 Issued in RI
Legal business name
GREATER RI ADDICTION SERVICES
Doing business as
none
Practice address
1704 Broad St
Cranston, RI 02905-2720
Phone
(401) 461-5555
Fax
(401) 461-5599
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Ms. Karen E. Maine, BS,LCDP,RCS
Title
Addictions Counselor
Phone
(401) 461-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDP00390 RI Primary

Addresses

Primary practice location

1704 Broad St
Cranston, RI 02905-2720

Mailing address

1704 Broad St
Cranston, RI 02905-2720
Phone (401) 461-5555

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1902085467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029052720",
            "telephone_number": "401-461-5555",
            "fax_number": "401-461-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 BROAD ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029052720",
            "telephone_number": "401-461-5555",
            "fax_number": "401-461-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER RI ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "MAINE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADDICTIONS COUNSELOR",
        "authorized_official_telephone_number": "401-461-5555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS,LCDP,RCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "LCDP00390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.