Colleen Carpender, LCDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Peace Dale, RI
NPI 1982297669 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1982297669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDP00846 (RI)
- Practice address
- 1220 Kingstown Rd
Peace Dale, RI 02879-7909 - Phone
- (401) 789-9390
- Fax
- (401) 789-3454
- NPI assigned
- Feb 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00846 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galilee Mission | Current |
Accepting new patients |
Locations
1220 Kingstown Rd
Wakefield, RI 02879
Phone (401) 789-9390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00846 | RI | Yes |
Addresses
Primary practice location
1220 Kingstown Rd
Peace Dale, RI 02879-7909
Mailing address
18 Paquins LN
Portsmouth, RI 02871-2132
Phone (401) 390-9633
Other practice location 1
18 Paquins Ln
Portsmouth, RI 02871-2132
Phone (401) 390-9633
Other providers in Peace Dale, RI
- 981 Kings Town Road Operating Company, LLC
- Cara Berman
- Broadrock Road Group Home
- Efrem Bromberg
- Jeffrey R. Brusini
- Samantha R Crowley
- Lindsey Crowninshield
- Cultivating Minds Counseling Services
- Amanda L Fontaine
- Home Port Therapy
All providers in Peace Dale, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.