ELIZABETH ENGELHORN (NPI# 1285838102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285838102 |
| Entity Type | Individual |
| Full Name | ELIZABETH ENGELHORN |
| Other Name | ELIZABETH COOPER-MOODY |
| Credential | LMHC, NCC, |
| Practice Address |
989 Reservoir Ave Cranston RI 02910-5138 |
| Mailing Address |
74 Aberdeen St West Warwick RI 02893-4203 |
| Practice Telephone | 4012060120 |
| Mailing Telephone | 4016334689 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
00398 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD OF RI | 00416126 | 01 |
| RI | BLUE CROSS CRISIS | 30343 | 01 |
| RI | COUNSELOR CERTIFICATE | C166 | 01 |
| RI | UNITED BEHAVIORAL HEALTH | 821096198 | 01 |
| Street Address |
989 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780336 | Seth Feder | Dermatology | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2005-06-20 |
| 1487271565 | Gillian Leahy Cooperstein | Nurse Practitioner | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2020-07-06 |
| 1922340314 | Liansheng Liu | Acupuncturist | 989 Reservoir Ave, Suite 103, Cranston, RI 02910-5138 | 2013-03-23 |
| 1427294321 | Cranston Cosmetic Dentistry, Inc. | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-12-23 |
| 1053561621 | Tracey Julia Neri | Social Worker | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-09-19 |
| 1386812816 | Associates In Oral and Maxillofacial Surgery, Ltd. | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2008-02-19 |
| 1043417843 | Sara L Carnevale Fearon | Audiologist | 989 Reservoir Ave, Suite 203, Cranston, RI 02910-5138 | 2007-06-27 |
| 1689887549 | Susan Wright | Counselor | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2007-05-08 |
| 1831219443 | Les R Prasad | Dentist | 989 Reservoir Ave, Cranston, RI 02910-5138 | 2007-03-29 |
| 1649371741 | Gina Breggia Pine | Social Worker | 989 Reservoir Ave, Box 9, Cranston, RI 02910-5138 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080717 | Maxine Swajian | Counselor | 100 Midway Rd Ste 9, Cranston, RI 02920-5742 | 2019-03-01 |
| 1003308982 | Arturo Ramirez | Counselor | 9 Carlo Ct, Cranston, RI 02921-2603 | 2018-06-05 |
| 1336638303 | Rhode Island Counseling Associates LLC | Counselor | 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043 | 2018-05-05 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1093250466 | Courtney Young | Counselor | 6 Collingwood Dr, Cranston, RI 02921-2609 | 2016-12-21 |
| 1659722916 | Eric John Fallon | Counselor | 232 Northup St, Cranston, RI 02905-4215 | 2016-06-28 |
| 1114313384 | Ashley Ann Macari | Counselor | 178 Park Ave, Cranston, RI 02905-2650 | 2015-04-14 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1972920585 | Massiel F Almond Frias | Counselor | 221 Woodbine St, Cranston, RI 02910-2953 | 2014-03-20 |
| Find all providers in CRANSTON | ||||
Please comment or provide details below to improve the information on ELIZABETH ENGELHORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.