Individual provider Active NPI

Richard H. Jobin, LICSW

  • Mental Health Counselor
  • Woonsockett, RI
National Provider Identifier
1932212735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW00832 Issued in RI
Practice address
8 Court St
Woonsockett, RI 02895
Phone
(401) 766-0900
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ISW00832 RI Primary
Mental Health Counselor 101YM0800X 104691 MA

Addresses

Primary practice location

8 Court St
Woonsockett, RI 02895

Mailing address

11 Farmers LN
Attleboro, MA 02703-1100
Phone (508) 226-6064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180108002522 MA Practitioner - Clinical Social Worker 3375451321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novum PsychiatristsGroup PAC ID 6507104601, 3 clinicians

Practice addresses (Care Compare)

30 Man Mar Dr
Suite 7
Plainville, MA 02762-2271
Phone (508) 699-9417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00832RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Novum Psychiatrists CurrentSince Nov 30, 2019 Accepting new patients
The Commonwealth of Massachusetts PastSince Dec 18, 2002 Accepting new patients

Locations

30 Man Mar Dr
Ste 7
Plainville, MA 02762
Phone (508) 699-2127

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932212735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FARMERS LN",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031100",
            "telephone_number": "508-226-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COURT ST",
            "city": "WOONSOCKETT",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-766-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBIN",
        "first_name": "RICHARD",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW00832",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "104691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.