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DIVERSITY COUNSELING LLC
NPI 1033868930
Counselor - Addiction (Substance Use Disorder) in Cranston, RI

Active since March 20, 2022CLIA 41D2273558 · Waiver
1020 PARK AVE, CRANSTON, RI 02910(401) 396-7649 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2026, Jun 10, 2025, Dec 15, 2023 (3 updates tracked since 2023).

About Diversity Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERSITY COUNSELING LLC (NPI 1033868930) is a healthcare organization registered as an addiction (substance use disorder) in Cranston, Rhode Island and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Jose G Cruz Rodriguez, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1033868930
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameDIVERSITY COUNSELING LLC
Location Address1020 PARK AVECranston, RI 02910-3227
Mailing Address1020 Park AveCranston, RI 02910-3227 · (401) 396-7649
Phone(401) 396-7649
Organization SubpartNo
Authorized OfficialJose G Cruz RodriguezCeo/owner · (401) 396-7649
Enumeration DateMarch 20, 2022
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1033868930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
1020 PARK AVE, Cranston, RI 02910
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diversity Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Diversity Counseling LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Megan Allaire, LICSW, LCDP
Clinical Social Worker
NPI 1508415704
1020 PARK AVE
Cranston, RI 02910
(401) 396-7649
✔ PECOS✔ Accepts MedicareSame address
Jose Cruz Rodriguez
Mental Health Counselor
NPI 1649884248
1020 PARK AVE
Cranston, RI 02910
(401) 396-7649
✔ PECOS✔ Accepts MedicareSame address
Jason Lord
Nurse Practitioner
NPI 1659052736
1020 PARK AVE
Cranston, RI 02910
(401) 396-7649
✔ PECOS✔ Accepts MedicareSame address
Claritza Tejeda
Clinical Social Worker
NPI 1164072443
1020 PARK AVE
Cranston, RI 02910
(401) 396-7649
✔ PECOS✔ Accepts MedicareSame address
Teresa Dombrowski, LCDP
Mental Health Counselor
NPI 1528701638
1020 PARK AVE STE 108
Cranston, RI 02910
(401) 396-7649
✔ PECOS✔ Accepts MedicareSame address
Fraynelis Andujar, LICSW
Clinical Social Worker
NPI 1750072740
40 CANDACE ST
Providence, RI 02908
(401) 444-0450
✔ PECOS3.9 mi
Melissa Mckenna
Mental Health Counselor
NPI 1114671609
600 PAWTUCKET AVE
Pawtucket, RI 02860
(401) 808-6278
✔ PECOS5.7 mi
Andria Duarte, PMHNP-BC
Nurse Practitioner
NPI 1811721897
66 MAIN ST STE 202
South Kingstown, RI 02879
(401) 241-5660
✔ PECOS✔ Accepts Medicare24 mi
Chidinma Gubor, DNP,APRN,PMHNP-BC
Nurse Practitioner
NPI 1497364459
950 CAMPBELL AVE
West Haven, CT 06516
(203) 932-5711
✔ PECOS✔ Accepts Medicare86 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2273558

Diversity Counseling LLC · Cranston, RI
Active · expires Dec 14, 2026
CLIA Number41D2273558
Laboratory TypeOutpatient Mental Health
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorJose G. Cruz Rodriguez
Laboratory Phone(401) 396-7649
Laboratory LocationDiversity Counseling LLC1020 Park Ave Ste 211, Cranston, RI 02910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diversity Counseling LLC's NPI number?

The NPI number for Diversity Counseling LLC is 1033868930. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Diversity Counseling LLC located?

Diversity Counseling LLC is located at 1020 Park Ave, Cranston, RI 02910. The listed phone number is (401) 396-7649.

What is Diversity Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Diversity Counseling LLC enrolled in Medicare?

Yes. Diversity Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diversity Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Diversity Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Mental Health Counselor (3) and Nurse Practitioner (3). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diversity Counseling LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2273558) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diversity Counseling LLC was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.