Active NPI
Brianna Marie Wallbank
- Counselor
- Pawtucket, RI
National Provider Identifier
1992338735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 744
- Practice address
- 249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134 - Phone
- (401) 724-8400
- NPI assigned
- Feb 20, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 744 | RI | Primary |
Addresses
Primary practice location
249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134
Mailing address
600 Cole Farm Rd Unit B5
Warwick, RI 02889-1366
Phone (401) 219-6892
Other practice location 1
4705A Old Post Rd
Charlestown, RI 02813-2591
Phone (401) 722-3560
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 |
|---|---|---|---|
| 744 | RI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1992338735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COLE FARM RD UNIT B5",
"city": "WARWICK",
"state": "RI",
"postal_code": "028891366",
"telephone_number": "401-219-6892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 ROOSEVELT AVE UNIT 205",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028602134",
"telephone_number": "401-724-8400"
}
],
"practiceLocations": [
{
"address_1": "4705A Old Post Rd",
"address_purpose": "LOCATION",
"city": "Charlestown",
"state": "RI",
"postal_code": "028132591",
"country_code": "US",
"telephone_number": "401-722-3560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLBANK",
"first_name": "BRIANNA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.