KIM MARIE MEDEIROS-CANNATA LMHC
NPI 1235230640
Counselor - Mental Health in Foster, RI
Active since September 26, 2006
About Kim Marie Medeiros-cannata Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM MARIE MEDEIROS-CANNATA LMHC (NPI 1235230640) is an individual mental health provider in Foster, Rhode Island, licensed in Rhode Island (00198) and active in the NPI registry since September 2006.
NPPES Registry Identity
NPI1235230640
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIM MARIE MEDEIROS-CANNATACredential: LMHC
Location Address82 CENTRAL PIKEFoster, RI 02825-1301
Mailing Address82 Central PikeFoster, RI 02825-1301 · (401) 658-6448
Phone(401) 658-6448
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 7, 2021
NPPES CertifiedFebruary 7, 2021
✔ NPI 1235230640 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · 00198
82 CENTRAL PIKE, Foster, RI 02825
Other Names 1
Former Name (1)Kim Marie Medeiros Lmhc
Other Identifiers 2
Other413222RI · Bluechip Coordinated Heal
Other31256-1RI · Blueshield
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235230640, enumerated as an "individual" on September 26, 2006.
The provider is located at 82 CENTRAL PIKE FOSTER, RI 02825 and the phone number is (401) 658-6448.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
