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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: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 10, 2025, Dec 15, 2023 (2 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 Mateo Gomez, Credentialing Consultant, 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 · (248) 470-8918
Phone(401) 396-7649
Organization SubpartNo
Authorized OfficialJose Mateo GomezCredentialing Consultant · (248) 470-8918
Enumeration DateMarch 20, 2022
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ 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
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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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YING YAN LIC. AC.
Acupuncturist
1020 PARK AVE, SUITE 103
CRANSTON, RI 02910
Providence County (401) 946-9750
LINDA J GIL LCDP, LMHC
Counselor (Mental Health)
1020 PARK AVE, SUITE 107
CRANSTON, RI 02910
Providence County (401) 585-0023
ANTHONY MICHAEL MARINO LICSW
Social Worker (Clinical)
1020 PARK AVE, STE 105
CRANSTON, RI 02910
Providence County (401) 944-9659
DESIREE DELGROSSO
Counselor (Mental Health)
1020 PARK AVE
CRANSTON, RI 02910
Providence County (401) 396-7649
DOUGLAS SHEHAN LCDP
Counselor (Addiction (Substance Use Disorder))
1020 PARK AVE
CRANSTON, RI 02910
Providence County (401) 396-7649
CLARITZA TEJEDA
Counselor (Mental Health)
1020 PARK AVE
CRANSTON, RI 02910
Providence County (401) 396-7649
JOHANNY MATOS CIPRIAN
Counselor (Addiction (Substance Use Disorder))
1020 PARK AVE
PROVIDENCE, RI 02910
Providence County (401) 396-7649
JOSE G. CRUZ RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
1020 PARK AVE
CRANSTON, RI 02910
Providence County (401) 396-7649

Frequently Asked Questions

What is DIVERSITY COUNSELING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1033868930, enumerated as an "organization" on March 20, 2022.

Where is the provider located?

The provider is located at 1020 PARK AVE CRANSTON, RI 02910 and the phone number is (401) 396-7649.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).