JANIS MARIE DOUGLAS NPI 1396720496

NPI Information

NPI: 1396720496
Provider Name: JANIS MARIE DOUGLAS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
42 VALLEY RD
MIDDLETOWN, RI
ZIP 02842
Phone: (401) 431-9870
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Janis Marie Douglas is a mental health counselor in Middletown, RI. Janis Marie Douglas NPI is 1396720496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

42 VALLEY RD
MIDDLETOWN, RI
ZIP 02842-400
Phone: (401) 431-9870

The enumeration date for this NPI number is 12/12/2005 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MHC 00265	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29911-2	OTHER	RHODE ISLAND	BLUE CROSS
2	JK52562	MEDICAID	RHODE ISLAND
3	412885	OTHER	RHODE ISLAND	BLUE CHIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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