Active NPI
Cathy A Lasalle, LCDP
- Addiction (Substance Use Disorder) Counselor
- East Providence, RI
National Provider Identifier
1962623553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDP-121
- Practice address
- Codac East Bay
850 Waterman Ave
East Providence, RI 02914 - Phone
- (401) 434-4999
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP-121 | RI | Primary |
Addresses
Primary practice location
Codac East Bay
850 Waterman Ave
East Providence, RI 02914
Mailing address
161 Dyer Ave
Riverside, RI 02915
Phone (401) 433-3672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDP-121 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
Organizations & group practices 2
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": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962623553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 DYER AVE",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-433-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CODAC EAST BAY",
"address_2": "850 WATERMAN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02914",
"telephone_number": "401-434-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASALLE",
"first_name": "CATHY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "LCDP-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.