KATE GANNON (NPI# 1326405481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326405481 |
| Entity Type | Individual |
| Full Name | KATE GANNON |
| Practice Address |
249 Roosevelt Ave Pawtucket RI 02860-2134 |
| Mailing Address |
2150 Pleasant St Po Box 171 Dighton MA 02715-1502 |
| Practice Telephone | 4014907320 |
| Mailing Telephone | 5087890814 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
249 ROOSEVELT AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324101 | Gateway Healthcare, Inc | Case Management | 249 Roosevelt Ave, Unit 205, Pawtucket, RI 02860-2134 | 2005-05-23 |
| 1487267449 | Silifat Adedayo Ainabe | Clinic/Center | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2020-08-28 |
| 1093379190 | Carla Justiniano | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-24 |
| 1467915561 | Haleigh O'brien | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2019-04-08 |
| 1235614769 | Alim Hos | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-10-01 |
| 1982193884 | Angela Gallo | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-05-07 |
| 1033607072 | Jennifer M Pelkey | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2018-04-25 |
| 1801323910 | Jenna Petrucci | Counselor | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-05-19 |
| 1942736855 | Briana Ransford | Counselor | 249 Roosevelt Ave, Suite 205, Pawtucket, RI 02860-2134 | 2017-05-11 |
| 1275071409 | Wanda M Angel | Social Worker | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 | 2017-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259933 | Ashley Milan | Counselor | 174 Armistice Blvd Ste D, Pawtucket, RI 02860-3269 | 2019-01-23 |
| 1114339538 | Daniel Reyes | Counselor | 36 Dean St, Pawtucket, RI 02861-3413 | 2014-05-21 |
| 1780920678 | John R Varieur | Counselor | 1 Homestead St, Pawtucket, RI 02860 | 2012-12-20 |
| 1730431305 | Lindsay R Lock | Counselor | 1010 Bacon Street, Pawtucket, RI 02860 | 2012-10-08 |
| 1336444512 | Jessica Renee Bisiak | Counselor | 242 Dexter Street, Pawtucket, RI 02860-8218 | 2011-01-19 |
| 1578874020 | James M. Geckler | Counselor | 750 East Ave Unit 2e, Pawtucket, RI 02860-6259 | 2010-06-30 |
| 1689906364 | Rute Maria Saraiva | Counselor | 101-103 Bacon Street, Pawtucket, RI 02860 | 2010-02-05 |
| 1568524627 | Dr. Day Care, Inc. | Counselor | 462 Smithfield Ave, Pawtucket, RI 02860-2552 | 2006-12-15 |
| 1184243446 | Allyson Trull | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-04-15 |
| 1992338735 | Brianna Marie Wallbank | Counselor | 249 Roosevelt Ave Unit 205, Pawtucket, RI 02860-2134 | 2020-02-20 |
| Find all providers in PAWTUCKET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.