KELLY LEVESQUE LCDP
NPI 1679877906
Counselor - Addiction (Substance Use Disorder) in Pawtucket, RI

Active since December 30, 2010
166 PAWTUCKET AVE, PAWTUCKET, RI 02860(401) 722-4644(401) 722-5039 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Levesque Lcdp NPPES

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

KELLY LEVESQUE LCDP (NPI 1679877906) is an individual addiction (substance use disorder) provider in Pawtucket, Rhode Island, licensed in Rhode Island (CDP00429) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1679877906
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY LEVESQUECredential: LCDP
Location Address166 PAWTUCKET AVEPawtucket, RI 02860-3811
Mailing Address166 Pawtucket AvePawtucket, RI 02860-3811 · (401) 722-4644 · Fax (401) 722-5039
Fax(401) 722-5039
Sole ProprietorNo
Enumeration DateDecember 30, 2010
NPI 1679877906 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 · CDP00429
166 PAWTUCKET AVE, Pawtucket, RI 02860

Other Identifiers 1

MedicaidGH57134RI

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Clinic/Center (Rehabilitation, Substance Use Disorder)
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Counselor
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Registered Nurse
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860

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 Kelly Levesque's NPI number?

The NPI number for Kelly Levesque is 1679877906. It was assigned to this individual provider in the NPPES registry on December 30, 2010.

Where is Kelly Levesque located?

Kelly Levesque practices at 166 Pawtucket Ave, Pawtucket, RI 02860. The listed phone number is (401) 722-4644.

What is Kelly Levesque'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 Kelly Levesque was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.