Mrs Emily Frances Debold, LMHC in Providence, RI

Mrs Emily Frances Debold, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. Her current practice location is 345 Blackstone Blvd, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 455-6200.

Mrs Emily Frances Debold is licensed to practice in Rhode Island (license number MHC01244) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275106551.

Contact Information

	Mrs Emily Frances Debold, LMHC
	345 Blackstone Blvd, Providence, RI 02906-4800
	(401) 455-6200
	(401) 455-6689

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Emily Frances Debold
Gender	Female
Speciality	Counselor - Mental Health
Location	345 Blackstone Blvd, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275106551
Provider Enumeration Date: 07/23/2021
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0941643019
Enrollment ID: I20240206000354

Medical Identifiers

Medical identifiers for Mrs Emily Frances Debold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275106551	NPI	-	NPPES
MHC01244	Other	RI	RI MEDICAL LICENSE (LMHC)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC01244 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Emily Frances Debold allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Emily Frances Debold is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Emily Frances Debold, LMHC 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 455-6200	Mrs Emily Frances Debold, LMHC 345 Blackstone Blvd, Providence, RI 02906-4800 Ph: (401) 455-6200

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Mrs Emily Frances Debold, LMHC - Medicare Counselor in Providence, RI