COMMUNITY COUNSELING PARTNERSHIPS LLC
NPI 1760201628
Psychologist - Clinical in Providence, RI

Active since October 08, 2024
340 BROADWAY, PROVIDENCE, RI 02909(401) 714-7440 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Oct 8, 2024 (2 updates tracked since 2024).

About Community Counseling Partnerships Llc NPPES

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

COMMUNITY COUNSELING PARTNERSHIPS LLC (NPI 1760201628) is a healthcare organization registered as a clinical in Providence, Rhode Island and active in the NPI registry since October 2024. The organization lists Michael Eltz, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1760201628
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOMMUNITY COUNSELING PARTNERSHIPS LLC
Location Address340 BROADWAYProvidence, RI 02909-1102
Mailing Address340 BroadwayProvidence, RI 02909-1102
Organization SubpartNo
Authorized OfficialMichael EltzCo-owner · (401) 714-7440
Enumeration DateOctober 8, 2024
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1760201628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
340 BROADWAY, Providence, RI 02909

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Counseling Partnerships Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Community Counseling Partnerships LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Psychologist
NPI 1639131360
340 BROADWAY
Providence, RI 02909
(401) 714-7440
✔ PECOSSame address
Clinical Social Worker
NPI 1962458604
450 WICKENDEN STREET
Providence, RI 02905
(401) 497-8747
✔ PECOS✔ Accepts Medicare1.8 mi
Marriage and Family Therapist
NPI 1356071518
126 COVE ST
Fall River, MA 02720
(508) 678-0041
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Counseling Partnerships LLC's NPI number?

The NPI number for Community Counseling Partnerships LLC is 1760201628. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Community Counseling Partnerships LLC located?

Community Counseling Partnerships LLC is located at 340 Broadway, Providence, RI 02909. The listed phone number is (401) 714-7440.

What is Community Counseling Partnerships LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Community Counseling Partnerships LLC enrolled in Medicare?

Yes. Community Counseling Partnerships LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Counseling Partnerships LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Counseling Partnerships LLC, in Clinical Psychologist, Clinical Social Worker and Marriage and Family Therapist. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Community Counseling Partnerships LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.