TARA RONDEAU MS LCDP NPI 1902349426

NPI Information

NPI: 1902349426
Provider Name: TARA RONDEAU, MS, LCDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
49 S COUNTY COMMONS WAY
UNIT 49 F6
SOUTH KINGSTOWN, RI
ZIP 02879
Phone: (401) 783-2220
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Tara Rondeau, MS, LCDP is an addiction (substance use disorder) counselor in South Kingstown, RI. Tara Rondeau, MS, LCDP NPI is 1902349426. 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:

49 S COUNTY COMMONS WAY
UNIT 49 F6
SOUTH KINGSTOWN, RI
ZIP 02879-269
Phone: (401) 783-2220
Fax: (401) 783-2224

The enumeration date for this NPI number is 12/1/2016 and was last updated on 4/16/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDP00773	RHODE ISLAND	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No

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	CDP00773	OTHER	RHODE ISLAND	STATE OF RI

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: 5/5/2024

NPI Synchronization or Removal

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