Tri-county Community Action Agency - Medicare Mental Health Clinic in Johnston, RI

Tri-county Community Action Agency is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Johnston, Rhode Island. The current practice location for Tri-county Community Action Agency is 1126 Hartford Ave, Johnston, Rhode Island. For appointments, you can reach them via phone at (401) 351-2750. The mailing address for Tri-county Community Action Agency is 1126 Hartford Ave, Johnston, Rhode Island and phone number is (401) 351-2750.

Tri-county Community Action Agency is licensed to practice in Rhode Island (license number ACF01507). The clinic also participates in the medicare program and its NPI number is 1396780086. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 351-2750.

Contact Information

Tri-county Community Action Agency
1126 Hartford Ave
Johnston
RI 02919-7130
(401) 351-2750
(401) 351-6613

Map and Direction


Mental Health Clinic Profile

Full NameTri-county Community Action Agency
SpecialityClinic/Center
Location1126 Hartford Ave, Johnston, Rhode Island
Authorized Official Name and PositionJoseph R Desantis (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact4015191967
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tri-county Community Action Agency
1126 Hartford Ave
Johnston
RI 02919-7130

Ph: (401) 351-2750
Tri-county Community Action Agency
1126 Hartford Ave
Johnston
RI 02919-7130

Ph: (401) 351-2750

NPI Details:

NPI Number1396780086
Provider Enumeration Date06/18/2006
Last Update Date12/12/2023
Certification Date12/12/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0648171181
Medicare Enrollment IDO20040116000778

Medical Identifiers

Medical identifiers for Tri-county Community Action Agency such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396780086NPI-NPPES
TT02485MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261QD0000XClinic/center - Dental (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) ACF01507 (Rhode Island)Primary
261QS0112XClinic/center - Oral And Maxillofacial Surgery (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri-county Community Action Agency acts as a billing entity for following providers:
Provider NameDiane M Kuttner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356395578
PECOS PAC ID: 1052413788
Enrollment ID: I20070226000719
Provider NameKaren M Lachapelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871892042
PECOS PAC ID: 4789857244
Enrollment ID: I20111027000607
Provider NameSuzanne E Lowe
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1457307258
PECOS PAC ID: 3870743412
Enrollment ID: I20121017000464
Provider NameRichard Chartier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265578058
PECOS PAC ID: 2062440951
Enrollment ID: I20130919000546
Provider NameWilfredo Giordano-perez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902148141
PECOS PAC ID: 3072748722
Enrollment ID: I20170915000973
Provider NameRebecca M Friedman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639331424
PECOS PAC ID: 6800018995
Enrollment ID: I20171013001531
Provider NamePatricia L Giarrusso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538492525
PECOS PAC ID: 1759427131
Enrollment ID: I20171228000602
Provider NameMarcie E Diorio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306382932
PECOS PAC ID: 5092069385
Enrollment ID: I20181127001107
Provider NameCasey Ellyn Sardo
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1902318090
PECOS PAC ID: 0244574093
Enrollment ID: I20181204003962
Provider NameAlice Mui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275032476
PECOS PAC ID: 8729312376
Enrollment ID: I20190702000266
Provider NameRose Michelle Tilus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487273363
PECOS PAC ID: 8628498532
Enrollment ID: I20201014003674
Provider NameJoseph Albertario
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326424466
PECOS PAC ID: 9032539960
Enrollment ID: I20201015000445
Provider NameCaroline S. Murray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366051849
PECOS PAC ID: 5698185320
Enrollment ID: I20201106002177
Provider NameMellissa Lacroix-dwyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790396935
PECOS PAC ID: 7214348390
Enrollment ID: I20201120001078
Provider NameEdmundo Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710384896
PECOS PAC ID: 4082993357
Enrollment ID: I20210125001335
Provider NameStephen Joseph Thomas
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1437171790
PECOS PAC ID: 3072928217
Enrollment ID: I20210219001616
Provider NameRaj Pande
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1215044458
PECOS PAC ID: 2860798261
Enrollment ID: I20210301000948
Provider NameHabiba H. Kure
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275263329
PECOS PAC ID: 0941679542
Enrollment ID: I20221202001580
Provider NameNikia A Dasilva-lopes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770205015
PECOS PAC ID: 4587024112
Enrollment ID: I20230714000831
Provider NameHafida Zerouali
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184241895
PECOS PAC ID: 9638539265
Enrollment ID: I20230714000974
Provider NameBarbara Ann Chadwick
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477039543
PECOS PAC ID: 3577923556
Enrollment ID: I20230721003185
Provider NameJennifer Anne Caffrey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285113571
PECOS PAC ID: 5698199552
Enrollment ID: I20230724000668
Provider NameCindia Arsenault
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265105597
PECOS PAC ID: 6002277829
Enrollment ID: I20230726002541
Provider NameTiffany Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922676055
PECOS PAC ID: 3274996046
Enrollment ID: I20230825002401
Provider NameKelli Anne Welby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235648163
PECOS PAC ID: 2567722093
Enrollment ID: I20230918002993
Provider NameAmanda Masi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922675164
PECOS PAC ID: 5395199459
Enrollment ID: I20230925000870
Provider NameKasandra Henriques
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265135099
PECOS PAC ID: 0941654891
Enrollment ID: I20230926001847
Provider NameJermaine Porter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821778705
PECOS PAC ID: 3476907353
Enrollment ID: I20230926002832

Reviews and Comments

Clinic/Center in Johnston, RI

The Journey To Hope, Health & Healing, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 985 Plainfield Street, Johnston, RI 02919
Phone: 401-946-0650    Fax: 401-406-3771
Tri-town Substance Abuse Program
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1126 Hartford Ave, Johnston, RI 02919
Phone: 401-351-2750    Fax: 401-351-6613
Gateway Healthcare, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1443 Hartford Ave, Johnston, RI 02919
Phone: 401-553-1033    Fax: 401-861-8696
Albert J. Marano, Md, Inc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 1239 Hartford Ave Ste 1, Johnston, RI 02919
Phone: 401-272-7660    Fax: 401-421-2730
Delta Consultants West, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1395 Atwood Ave, Suite 213, Johnston, RI 02919
Phone: 401-944-9888    Fax: 401-944-5888
Ocean State Counseling And Wellness Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1395 Atwood Ave, Suite 206, Johnston, RI 02919
Phone: 401-241-3344    Fax: 888-458-2467
Bhg Lvii, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 985 Plainfield St, Johnston, RI 02919
Phone: 401-946-0650    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.