Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053717132 Individual Practitioner Female Practitioner

Nicole Johnson

Counselor • Cranston, RI

Professional Overview & Biography Verified Profile Summary

Nicole Johnson is a registered healthcare professional specializing in Counselor in Cranston, RI. Practice services are available at 1471 ELMWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1471 Elmwood Ave

Cranston, RI 029103849

Telephone 4017248400
Fax 4017225280
Associated Practice Facility / Clinic
🏢 Gateway Healthcare, Inc Facility NPI 1154324101

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Cranston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Cranston, RI (429 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
GH57134 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003151457
NPI 1003294984
Kathy Young

Social Worker

NPI 1013339589
NPI 1033561337
Jennifer Pelkey , MS

Counselor - Mental Health

NPI 1033607072

Master of Science

Julia Smith , MA

Counselor - Mental Health

NPI 1043544836

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 13, 2017

Registered at 520 HOPE ST, PROVIDENCE, RI 029062532 (Tel: 4012764531)

📍
Updated Practice Location December 13, 2017

Registered at 1471 ELMWOOD AVE, CRANSTON, RI 029103849 (Tel: 4017248400)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as NICOLE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Counselor

NPI Profile Active November 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2014

Registered at 1471 ELMWOOD AVE, CRANSTON, RI 029103849 (Tel: 4017248400)

📍
Updated Business Mailing Address November 17, 2014

Registered at 1471 ELMWOOD AVE, CRANSTON, RI 029103849 (Tel: 4017248400)

👤
Provider Name / Credentials Updated November 17, 2014

Recorded as NICOLE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2014

Counselor

🟢
Initial NPI Registration & Enumeration November 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053717132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2014
Last Update: December 13, 2017
Sole Proprietor: No

Mailing Address

520 Hope St

Providence, RI 029062532

Phone: 4012764531

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.