JOHN ANTHONY CIPOLLA JR. LMHC
NPI 1639989262
Counselor - Mental Health in Providence, RI
About John Anthony Cipolla Jr. Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN ANTHONY CIPOLLA JR. LMHC (NPI 1639989262) is an individual mental health provider in Providence, Rhode Island, licensed in Rhode Island (MHC01783) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnston, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Anthony Cipolla Jr. Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Cipolla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pawtucket, RI 02860
- Reassigned Medicare billing, Rhode Island enrollment
- 150 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
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 John Cipolla's NPI number?
The NPI number for John Cipolla is 1639989262. It was assigned to this individual provider in the NPPES registry on January 7, 2025.
Where is John Cipolla located?
John Cipolla practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6680.
What is John Cipolla's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is John Cipolla enrolled in Medicare?
Yes. John Cipolla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Cipolla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Cipolla reassigns Medicare benefits to Gateway Healthcare Inc (Pawtucket, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Cipolla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Cipolla accept?
Health plans from Harvard Pilgrim Health Care list John Cipolla 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 John Cipolla was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Anthony Cipolla Jr., LMHC · NPI 1639989262
Mental Health provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since January 7, 2025.
## Identity
- **NPI:** 1639989262 (Entity type: Individual)
- **Enumerated:** January 7, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MHC01783 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 BLACKSTONE BLVD, Providence, RI 02906-4800
- **Phone:** (401) 455-6680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gateway Healthcare Inc (NPI 1821078932, Pawtucket, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639989262) · Data from the CMS NPPES public registry.