Active NPI
Mackenzie Martin, LCDP
- Addiction (Substance Use Disorder) Counselor
- Warwick, RI
National Provider Identifier
1972433753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP01061
- Practice address
- 390 Toll Gate Rd Ste 206
Warwick, RI 02886-4351 - Phone
- (401) 347-7381
- Fax
- (401) 400-7250
- NPI assigned
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | CDP01061 | RI | Primary |
Addresses
Primary practice location
390 Toll Gate Rd Ste 206
Warwick, RI 02886-4351
Mailing address
390 Toll Gate Rd Ste 206
Warwick, RI 02886-4351
Phone (774) 331-7298
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 |
|---|---|---|---|
| CDP01061 | RI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1972433753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD STE 206",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864351",
"telephone_number": "774-331-7298",
"fax_number": "401-400-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 TOLL GATE RD STE 206",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864351",
"telephone_number": "401-347-7381",
"fax_number": "401-400-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MACKENZIE",
"credential": "LCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-21",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP01061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.