Active NPIIndividual provider

Johanny Matos Ciprian

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

NPI Number1548098882
Practice location
1020 Park Ave, Providence, RI 02910-3227
Fax
—
Last updated
June 16, 2025

Johanny Matos Ciprian is a Counselor, Addiction (Substance Use Disorder) based in Providence, RI. Johanny Matos Ciprian practices in Providence, RI. The NPI Number for Johanny Matos Ciprian is 1548098882 and holds a License No. CDP00996 (RI). The current practice location address for Johanny Matos Ciprian is 1020 Park Ave, Providence, RI 02910-3227 and can be reached out via phone at 401-396-7649.

Provider Profile Details

NPI Number
1548098882
Provider Name
Johanny Matos Ciprian
Provider Entity Type
Individual
Gender
Female
Address
1020 Park Ave, Providence, RI 02910-3227
Phone Number
401-396-7649
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2024
Last Update Date
June 16, 2025
Certification Date
June 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1020 Park Ave
Providence, RI 02910-3227
Zip
02910-3227
Phone Number
401-396-7649
Providence, RI 02910Get directions →

Provider Business Mailing Address Details

Address
111 Wayland Ave
Providence, RI 02906-4371
City
Providence
State
RI
Zip
02906-4371

License Information

License Number
CDP00996
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 Johanny Matos Ciprian?

The NPI number of Johanny Matos Ciprian is 1548098882. It was assigned on July 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Johanny Matos Ciprian?

Johanny Matos Ciprian is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00996.

Where does Johanny Matos Ciprian practice?

The practice location is 1020 Park Ave, Providence, RI 02910-3227. The office can be reached at 401-396-7649 (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 1548098882 directly on the NPPES registry website.

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