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AUTHENTIC CHANGE PSYCHOTHERAPY, INC.
NPI 1144971342
Social Worker - Clinical in Providence, RI

Active since January 10, 2022
154 WATERMAN ST., SUITE 15, 3RD FLOOR, PROVIDENCE, RI 02906(401) 489-6885 Get Directions Write a Review

NPPES record last updated: January 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2022, Jan 10, 2022 (2 updates tracked since 2022).

About Authentic Change Psychotherapy, Inc. NPPES

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

AUTHENTIC CHANGE PSYCHOTHERAPY, INC. (NPI 1144971342) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since January 2022. The organization lists Brooke Huminski, Owner, as its authorized official.

NPPES Registry Identity

NPI1144971342
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC CHANGE PSYCHOTHERAPY, INC.
Location Address154 WATERMAN ST., SUITE 15, 3RD FLOORProvidence, RI 02906
Mailing Address133 Glenwood AvePawtucket, RI 02860-5905 · (401) 489-6885
Phone(401) 489-6885
Organization SubpartNo
Authorized OfficialBrooke HuminskiOwner · (401) 489-6885
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJanuary 23, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2022
✔ NPI 1144971342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
154 WATERMAN ST., Providence, RI 02906
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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

Other Providers at the Same Location NPPES

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

MR. NORMAND ROBERT BRISSETTE CADC, LCDP
Counselor (Addiction (Substance Use Disorder))
154 WATERMAN ST., SUITE 10
PROVIDENCE, RI 02906
Providence County (401) 214-5923

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 Authentic Change Psychotherapy, Inc.'s NPI number?

The NPI number for Authentic Change Psychotherapy, Inc. is 1144971342. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Authentic Change Psychotherapy, Inc. located?

Authentic Change Psychotherapy, Inc. is located at 154 Waterman St. Suite 15, 3rd Floor, Providence, RI 02906. The listed phone number is (401) 489-6885.

What is Authentic Change Psychotherapy, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Authentic Change Psychotherapy, Inc. was last updated on January 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.