MR. JOSEPH JOHN TETREAULT JR. MS
NPI 1275120594
Counselor - Mental Health in Providence, RI

Active since December 22, 2020PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4900 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Joseph John Tetreault Jr. Ms NPPES

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

MR. JOSEPH JOHN TETREAULT JR. MS (NPI 1275120594) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01508) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275120594
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JOSEPH JOHN TETREAULT JR.Credential: MS
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Sole ProprietorNo
Enumeration DateDecember 22, 2020
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1275120594 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 · MHC01508
593 EDDY ST, Providence, RI 02903

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joseph John Tetreault Jr. Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Joseph Tetreault's NPI number?

The NPI number for Joseph Tetreault is 1275120594. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Joseph Tetreault located?

Joseph Tetreault practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4900.

What is Joseph Tetreault's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Joseph Tetreault enrolled in Medicare?

Yes. Joseph Tetreault is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Tetreault accept?

Health plans from Harvard Pilgrim Health Care list Joseph Tetreault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Tetreault was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.