Active NPIIndividual providerSole proprietor

Jessica Elliott, MA, CAGS, LCDP

Counselor, Addiction (Substance Use Disorder) in Cranston, Rhode Island

NPI Number1427454453
Practice location
1052 Park Ave, Cranston, RI 02910-3225
Fax
—
Last updated
November 19, 2014

Jessica Elliott is a Counselor, Addiction (Substance Use Disorder) based in Cranston, RI. Jessica Elliott practices in Cranston, RI and has the professional credentials of MA, CAGS, LCDP. The NPI Number for Jessica Elliott is 1427454453 and holds a License No. CDP00462 (RI). The current practice location address for Jessica Elliott is 1052 Park Ave, Cranston, RI 02910-3225 and can be reached out via phone at 401-714-9526.

Provider Profile Details

NPI Number
1427454453
Provider Name
Jessica Elliott
Credential
MA, CAGS, LCDP
Provider Entity Type
Individual
Gender
Female
Address
1052 Park Ave, Cranston, RI 02910-3225
Phone Number
401-714-9526
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
November 19, 2014
Last Update Date
November 19, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1052 Park Ave
Cranston, RI 02910-3225
Zip
02910-3225
Phone Number
401-714-9526
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
1052 Park Ave
Cranston, RI 02910-3225
City
Cranston
State
RI
Zip
02910-3225
Phone Number
401-714-9526

License Information

License Number
CDP00462
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Elliott, MA, CAGS, LCDP?

The NPI number of Jessica Elliott, MA, CAGS, LCDP is 1427454453. It was assigned on November 19, 2014 and is currently active in the NPPES registry.

What is the specialty of Jessica Elliott, MA, CAGS, LCDP?

Jessica Elliott, MA, CAGS, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00462.

Where does Jessica Elliott, MA, CAGS, LCDP practice?

The practice location is 1052 Park Ave, Cranston, RI 02910-3225. The office can be reached at 401-714-9526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427454453 directly on the NPPES registry website.

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