Individual provider Active NPI

Katelyn Martins, LMHC

  • Mental Health Counselor
  • Warwick, RI
National Provider Identifier
1972985778
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00883 Issued in RI
Practice address
1329 Jefferson Blvd
Warwick, RI 02886-2532
Phone
(401) 477-9446
Fax
(401) 227-8116
NPI assigned
Jun 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Counselor 101YM0800X MHC00883 RI Primary

Addresses

Primary practice location

1329 Jefferson Blvd
Warwick, RI 02886-2532

Mailing address

PO Box 8465
Warwick, RI 02888-0597
Phone (401) 477-9446

Other practice location 1

615 Jefferson Blvd Ste B208
Warwick, RI 02886-1390
Phone (401) 477-9446

Other practice location 2

200 Centerville Rd Ste 11
Warwick, RI 02886-0204
Phone (401) 477-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240521000475 RI Practitioner - Mental Health Counselor 0941637169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arrow Behavioral HealthGroup PAC ID 7618319872, 15 clinicians

Practice addresses (Care Compare)

1329 Jefferson Blvd
Warwick, RI 02886-2532
Phone (401) 447-9446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC00883RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Behavioral Health Mental Health CurrentSince Mar 15, 2024 Accepting new patients

Locations

5898 Ridgewood Rd
Ste E
Jackson, MS 39211
Phone (401) 447-9446

200 Centerville Rd
Ste 11
Warwick, RI 02886
Phone (401) 477-9446

1329 Jefferson Blvd
Warwick, RI 02886
Phone (401) 447-9446

615 Jefferson Blvd
Ste B208
Warwick, RI 02886
Phone (401) 737-6436

200 Toll Gate Rd
Ste 103
Warwick, RI 02886
Phone (401) 447-9446

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1972985778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8465",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028880597",
            "telephone_number": "401-477-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862532",
            "telephone_number": "401-477-9446",
            "fax_number": "401-227-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Jefferson Blvd Ste B208",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861390",
            "country_code": "US",
            "telephone_number": "401-477-9446",
            "fax_number": "401-227-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Centerville Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028860204",
            "country_code": "US",
            "telephone_number": "401-477-9446",
            "fax_number": "401-227-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.