Active NPI
Tara Rondeau, MS, LCDP
- Addiction (Substance Use Disorder) Counselor
- South Kingstown, RI
National Provider Identifier
1902349426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP00773
- Practice address
- 49 S County Commons Way
Unit 49 F6
South Kingstown, RI 02879-8269 - Phone
- (401) 783-2220
- Fax
- (401) 783-2224
- NPI assigned
- Dec 1, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00773 | RI | Primary |
Addresses
Primary practice location
49 S County Commons Way
Unit 49 F6
South Kingstown, RI 02879-8269
Mailing address
49 S County Commons Way
Unit 49 F6
South Kingstown, RI 02879-8269
Phone (401) 783-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDP00773 | Other | RI | STATE OF RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00773 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adcare Rhode Island, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- South Kingstown, RI
- NPI 1639646771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1902349426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S COUNTY COMMONS WAY",
"address_2": "UNIT 49 F6",
"city": "SOUTH KINGSTOWN",
"state": "RI",
"postal_code": "028798269",
"telephone_number": "401-783-2220",
"fax_number": "401-783-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 S COUNTY COMMONS WAY",
"address_2": "UNIT 49 F6",
"city": "SOUTH KINGSTOWN",
"state": "RI",
"postal_code": "028798269",
"telephone_number": "401-783-2220",
"fax_number": "401-783-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDEAU",
"first_name": "TARA",
"credential": "MS, LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-01",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF RI",
"identifier": "CDP00773",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.