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BRENDA BEAUREGARD LCDP
NPI 1659409647
Counselor - Addiction (Substance Use Disorder) in Pawtucket, RI

Active since March 01, 2007
249 ROOSEVELT AVE, PAWTUCKET, RI 02860(401) 724-8400(401) 365-1100 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Beauregard Lcdp NPPES

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

BRENDA BEAUREGARD LCDP (NPI 1659409647) is an individual addiction (substance use disorder) provider in Pawtucket, Rhode Island, licensed in Rhode Island (LCDP345) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1659409647
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRENDA BEAUREGARDCredential: LCDP
Location Address249 ROOSEVELT AVEPawtucket, RI 02860-2134
Mailing Address249 Roosevelt AvePawtucket, RI 02860-2134 · (401) 724-8400 · Fax (401) 365-1100
Phone(401) 724-8400
Fax(401) 365-1100
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1659409647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in RI · LCDP345
249 ROOSEVELT AVE, Pawtucket, RI 02860
Open in Google Maps ↗

Other Identifiers 1

MedicaidGH56996RI

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.

GATEWAY HEALTHCARE, INC
Specialist
249 ROOSEVELT AVE, STE 205
PAWTUCKET, RI 02860
Providence County (401) 724-8400
MS. JENNIFER M PELKEY MS
Counselor (Mental Health)
249 ROOSEVELT AVE
PAWTUCKET, RI 02860
Providence County (401) 724-8400
JULIA MARGARET SMITH MA
Counselor (Mental Health)
249 ROOSEVELT AVE
PAWTUCKET, RI 02860
Providence County (401) 724-8400
KATHLEEN LYN RICCI RN
Registered Nurse
249 ROOSEVELT AVE
PAWTUCKET, RI 02860
Providence County (401) 724-8400
CARLA JUSTINIANO MSW
Social Worker (Clinical)
249 ROOSEVELT AVE
PAWTUCKET, RI 02860
Providence County (401) 724-8400
MAUREEN GIORDANO RN
Registered Nurse (Psychiatric/Mental Health)
249 ROOSEVELT AVE, SUITE 205
PAWTUCKET, RI 02860
Providence County (401) 724-8400
GATEWAY HEALTHCARE, INC
Case Management
249 ROOSEVELT AVE, UNIT 205
PAWTUCKET, RI 02860
Providence County (401) 724-8400
DONALD MARC LALIBERTE L.I.C.S.W.
Social Worker (Clinical)
249 ROOSEVELT AVE, SUITE 205
PAWTUCKET, RI 02860
Providence County (401) 724-8400

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 Brenda Beauregard's NPI number?

The NPI number for Brenda Beauregard is 1659409647. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Brenda Beauregard located?

Brenda Beauregard practices at 249 Roosevelt Ave, Pawtucket, RI 02860. The listed phone number is (401) 724-8400.

What is Brenda Beauregard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brenda Beauregard was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.