Active NPIIndividual provider

Melissa A Costa, LCDP

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

NPI Number1598373557
Practice location
105 Bacon St, Pawtucket, RI 02860-5542
Fax
401-364-1982
Last updated
January 4, 2024

Melissa Ann Costa is a Counselor, Addiction (Substance Use Disorder) based in Pawtucket, RI. Melissa Ann Costa practices in Pawtucket, RI and has the professional credentials of LCDP. The NPI Number for Melissa Ann Costa is 1598373557 and holds a License No. CDP00836 (RI). The current practice location address for Melissa Ann Costa is 105 Bacon St, Pawtucket, RI 02860-5542 and can be reached out via phone at 401-871-8135 and via fax at 401-364-1982.

Provider Profile Details

NPI Number
1598373557
Provider Name
Melissa Ann Costa
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
105 Bacon St, Pawtucket, RI 02860-5542
Phone Number
401-871-8135
Fax Number
401-364-1982
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2020
Last Update Date
January 4, 2024
Certification Date
October 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Bacon St
Pawtucket, RI 02860-5542
Zip
02860-5542
Phone Number
401-871-8135
Fax Number
401-364-1982
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
105 Bacon St
Pawtucket, RI 02860-5542
City
Pawtucket
State
RI
Zip
02860-5542
Phone Number
401-871-8135
Fax Number
401-364-1982

License Information

License Number
CDP00836
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 Melissa A Costa, LCDP?

The NPI number of Melissa A Costa, LCDP is 1598373557. It was assigned on July 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Melissa A Costa, LCDP?

Melissa A Costa, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00836.

Where does Melissa A Costa, LCDP practice?

The practice location is 105 Bacon St, Pawtucket, RI 02860-5542. The office can be reached at 401-871-8135 (phone) or 401-364-1982 (fax).

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 1598373557 directly on the NPPES registry website.

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