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JACKIE BERRY CSSA
NPI 1770837734
Counselor - Addiction (Substance Use Disorder) in Pawtucket, RI

Active since October 30, 2012
166 PAWTUCKET AVE, PAWTUCKET, RI 02860(401) 722-4644(401) 722-5280 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Berry Cssa NPPES

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

JACKIE BERRY CSSA (NPI 1770837734) is an individual addiction (substance use disorder) provider in Pawtucket, Rhode Island and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1770837734
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACKIE BERRYCredential: CSSA
Location Address166 PAWTUCKET AVEPawtucket, RI 02860-3811
Mailing Address166 Pawtucket AvePawtucket, RI 02860-3811 · (401) 722-4644 · Fax (401) 722-5280
Phone(401) 722-4644
Fax(401) 722-5280
Sole ProprietorNo
Enumeration DateOctober 30, 2012
✔ NPI 1770837734 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
166 PAWTUCKET AVE, Pawtucket, RI 02860
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Other Identifiers 1

MedicaidGH56996RI

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.

MRS. MEREDITH M DENNO LICSW LCDP
Counselor (Mental Health)
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 722-4644
MS. CAROLYNNE C DAVIS L.C.D.P
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 722-4644
CARITAS INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 722-4644
DONNA RENSHAW
Counselor
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 724-8400
ROBIN LEE YOUNG
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 729-8701
JODY SKAGGS
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 722-4644
HANNAH CAMPLIN RN
Registered Nurse
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 729-8701
KELLY LEVESQUE LCDP
Counselor (Addiction (Substance Use Disorder))
166 PAWTUCKET AVE
PAWTUCKET, RI 02860
Providence County (401) 722-4644

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 Jackie Berry's NPI number?

The NPI number for Jackie Berry is 1770837734. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Jackie Berry located?

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

What is Jackie Berry'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 Jackie Berry was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.