Active NPIIndividual providerSole proprietor

Ms. Kathleen C Larisa, LCMHC, LADCI

Counselor, Mental Health in East Providence, Rhode Island

NPI Number1922150630
Practice location
610 Wampanoag Trail, East Providence, RI 02916
Fax
—
Last updated
March 5, 2008

Kathleen Carney Larisa is a Counselor, Mental Health based in East Providence, RI. Kathleen Carney Larisa practices in East Providence, RI and has the professional credentials of LCMHC, LADCI. The NPI Number for Kathleen Carney Larisa is 1922150630 and holds a License No. MHC00322 (RI). The current practice location address for Kathleen Carney Larisa is 610 Wampanoag Trail, East Providence, RI 02916 and can be reached out via phone at 401-431-9870.

Provider Profile Details

NPI Number
1922150630
Provider Name
Kathleen Carney Larisa
Credential
LCMHC, LADCI
Provider Entity Type
Individual
Gender
Female
Address
610 Wampanoag Trail, East Providence, RI 02916
Phone Number
401-431-9870
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2007
Last Update Date
March 5, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Wampanoag Trail
East Providence, RI 02916
Zip
02916
Phone Number
401-431-9870
East Providence, RI 02916Get directions →

Provider Business Mailing Address Details

Address
44 Don Ave
Rumford, RI 02916-2305
City
Rumford
State
RI
Zip
02916-2305
Phone Number
617-775-5400

License Information

License Number
MHC00322
License State
RI
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ms. Kathleen C Larisa, LCMHC, LADCI?

The NPI number of Ms. Kathleen C Larisa, LCMHC, LADCI is 1922150630. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Kathleen C Larisa, LCMHC, LADCI?

Ms. Kathleen C Larisa, LCMHC, LADCI is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number MHC00322.

Where does Ms. Kathleen C Larisa, LCMHC, LADCI practice?

The practice location is 610 Wampanoag Trail, East Providence, RI 02916. The office can be reached at 401-431-9870 (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 1922150630 directly on the NPPES registry website.

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