| Melissa Mckenna, | |
|
600 Pawtucket Ave, Pawtucket, RI 02860-6059 | |
| (401) 808-6278 | |
| Not Available |
| Full Name | Melissa Mckenna |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 600 Pawtucket Ave, Pawtucket, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114671609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00772 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | MHC01556 (Rhode Island) | Primary |
| Entity Name | Emma Pendleton Bradley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Entity Name | Diversity Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033868930 PECOS PAC ID: 7719330034 Enrollment ID: O20240201004140 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Mckenna, 12 Church St, Barrington, RI 02806-2924 Ph: (401) 837-2387 | Melissa Mckenna, 600 Pawtucket Ave, Pawtucket, RI 02860-6059 Ph: (401) 808-6278 |
John Walker, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 | |
Trisha Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Bacon St, Pawtucket, RI 02860 Phone: 401-724-8400 Fax: 401-722-5280 | |
Susan Estrela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Kenyon Ave, Pawtucket, RI 02861 Phone: 401-632-6434 | |
Mr. James Gerard Gregory, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Lafayette St, Pawtucket, RI 02860 Phone: 401-771-7016 | |
Ms. Jennifer M Pelkey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 Roosevelt Ave, Pawtucket, RI 02860 Phone: 401-724-8400 | |
Kelsey Francis, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Cottage St Apt 1, Pawtucket, RI 02860 Phone: 603-819-9004 | |
John Echeverry, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860 Phone: 401-722-5573 Fax: 401-724-9735 |