Organization Active NPI

New Leaf Counseling Center LLC

  • Professional Counselor
  • North Kingstown, RI
National Provider Identifier
1922856400
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW LEAF COUNSELING CENTER LLC
Practice address
1130 Ten Rod Rd Ste F204
North Kingstown, RI 02852-4172
Phone
(401) 487-1600
NPI assigned
May 9, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Melissa J Grifka, LMFTNPI 1588967244
Title
Counselor/Admin
Phone
(401) 487-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250624002163 RI Part B Supplier - Clinic/Group Practice 7517479736 Receives reassigned benefits from 2 practitioners
Practice locations: North Kingstown, RI

National Provider Directory

National Provider Directory

Locations

3285 S County Trl
Ste 2
East Greenwich, RI 02818

1130 Ten Rod Rd
Ste F204
North Kingstown, RI 02852
Phone (401) 487-1600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

1130 Ten Rod Rd Ste F204
North Kingstown, RI 02852-4172

Mailing address

17 Minglewood Dr
Coventry, RI 02816-5152
Phone (401) 487-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2024.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1922856400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MINGLEWOOD DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165152",
            "telephone_number": "401-487-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE F204",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524172",
            "telephone_number": "401-487-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "GRIFKA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR/ADMIN",
        "authorized_official_telephone_number": "401-487-1600",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.