BETHANY CONTRERAS (NPI# 1609295641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609295641 |
| Entity Type | Individual |
| Full Name | BETHANY CONTRERAS |
| Credential | LCDP |
| Practice Address |
40 Howard Ave Cranston RI 02920-3031 |
| Mailing Address |
528 N Main St Providence RI 02904-5757 |
| Practice Telephone | 4014622006 |
| Mailing Telephone | 4014622006 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00572 | RI | Behavioral Health & Social Service Providers |
| Street Address |
40 HOWARD AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336764943 | Caitlin Bouchard | Counselor | 40 Howard Ave, Cranston, RI 02920-3031 | 2020-06-09 |
| 1437660677 | Katie Elizabeth Hansen | Counselor | 40 Howard Ave, Cranston, RI 02920-3031 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780067 | Jamie Lynn Souza | Counselor | 1257 Cranston St, Cranston, RI 02920-7315 | 2019-06-21 |
| 1669830402 | Meredith Frost | Counselor | 105 Sockanosset Cross Rd Ste 200, Cranston, RI 02920-5560 | 2016-02-08 |
| 1730550096 | Rebecca Flores | Counselor | 78 Brayton Ave, Cranston, RI 02920-3307 | 2015-10-13 |
| 1407267719 | Victoria Sue Monnett | Counselor | 14 Starline Way, Cranston, RI 02921-3409 | 2014-05-09 |
| 1356775365 | Nikolai Blinow | Counselor | 897 Reservoir Ave, Cranston, RI 02910-4435 | 2013-08-27 |
| 1851545669 | S.t.e.p.s. | Counselor | 678 Park Ave, Suite #2, Cranston, RI 02910-2114 | 2008-11-06 |
| 1902085467 | Greater Ri Addiction Services | Counselor | 1704 Broad St, Cranston, RI 02905-2720 | 2007-10-31 |
| 1770792467 | Caritas Inc | Counselor | 1545 Pontiac Ave, Cranston, RI 02920-4407 | 2007-05-21 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1831280544 | Mary J Mercurio | Counselor | 75 Sockanosset Cross Road, Suite 208, Cranston, RI 02920 | 2006-09-27 |
| Find all providers in CRANSTON | ||||
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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.