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DESIRAE BROUILLARD MA
NPI 1750723656
Counselor in Johnston, RI

Active since July 22, 2013
1443 HARTFORD AVE, JOHNSTON, RI 02919(401) 273-8100(401) 861-8696 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desirae Brouillard Ma NPPES

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

DESIRAE BROUILLARD MA (NPI 1750723656) is an individual counselor in Johnston, Rhode Island and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1750723656
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDESIRAE BROUILLARDCredential: MA
Location Address1443 HARTFORD AVEJohnston, RI 02919-3224
Mailing Address1443 Hartford AveJohnston, RI 02919-3224 · (401) 273-8100 · Fax (401) 861-8696
Phone(401) 273-8100
Fax(401) 861-8696
Sole ProprietorNo
Enumeration DateJuly 22, 2013
Last NPPES UpdateMay 17, 2016
✔ NPI 1750723656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1443 HARTFORD AVE, Johnston, RI 02919
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Other Names 1

Former Name (1)Desirae Sovet Ma

Other Identifiers 2

Medicaid1750723656RI
MedicaidDB98591RI

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.

SANTANNA ROCHA J.D., M.S.W., LCSW
Social Worker (Clinical)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
LAURIE THORNTON MA, CAGS, LMHC
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
MIKAYLA KELMER MA
Counselor (Mental Health)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
MCKAYLA ARBIGE MASTERS
Counselor (Mental Health)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 553-1000
VANNESSA SWINSON
Counselor
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
OMER CERMIK MD
Psychiatry & Neurology (Psychiatry)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
ELLEN FITZGERALD-MCCALLUM LICSW
Social Worker (Clinical)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 273-8100
ALICIA EAD LICSW
Social Worker (Clinical)
1443 HARTFORD AVE
JOHNSTON, RI 02919
Providence County (401) 556-1149

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 Desirae Brouillard's NPI number?

The NPI number for Desirae Brouillard is 1750723656. It was assigned to this individual provider in the NPPES registry on July 22, 2013. The provider is also known as Desirae Sovet Ma.

Where is Desirae Brouillard located?

Desirae Brouillard practices at 1443 Hartford Ave, Johnston, RI 02919. The listed phone number is (401) 273-8100.

What is Desirae Brouillard's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Desirae Brouillard was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.