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THEOFANIS BABASIDIS MA
NPI 1538853312
Counselor - Mental Health in Cranston, RI

Active since June 06, 2023PECOS Enrolled
99 BURBANK ST, CRANSTON, RI 02910(585) 354-6692 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 25, 2026, Jun 6, 2023 (2 updates tracked since 2023).

About Theofanis Babasidis Ma NPPES

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

THEOFANIS BABASIDIS MA (NPI 1538853312) is an individual mental health provider in Cranston, Rhode Island, licensed in Massachusetts (LMHC10005000) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538853312
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEOFANIS BABASIDISCredential: MA
Location Address99 BURBANK STCranston, RI 02910-3841
Mailing Address99 Burbank StCranston, RI 02910-3841
Phone(585) 354-6692
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2023
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1538853312 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 MA · LMHC10005000
99 BURBANK ST, Cranston, RI 02910
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theofanis Babasidis Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022515980
PECOS Enrollment IDI20251007003625
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

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

THEO BABASIDIS, LLC
Counselor (Mental Health)
99 BURBANK ST
CRANSTON, RI 02910
Providence County (585) 354-6692

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 Theofanis Babasidis's NPI number?

The NPI number for Theofanis Babasidis is 1538853312. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Theofanis Babasidis located?

Theofanis Babasidis practices at 99 Burbank St, Cranston, RI 02910. The listed phone number is (585) 354-6692.

What is Theofanis Babasidis's specialty?

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

Is Theofanis Babasidis enrolled in Medicare?

Yes. Theofanis Babasidis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theofanis Babasidis was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.