| Healthy Minds Counseling, Inc. | |
|
25 Cohasset Ln Cranston RI 02921-1364 | |
| (401) 787-0217 | |
| Not Available |
| Full Name | Healthy Minds Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 25 Cohasset Ln, Cranston, Rhode Island |
| Authorized Official Name and Position | Krysta Jensen (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4017870217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Counseling, Inc. 25 Cohasset Ln Cranston RI 02921-1364 Ph: (401) 787-0217 | Healthy Minds Counseling, Inc. 25 Cohasset Ln Cranston RI 02921-1364 Ph: (401) 787-0217 |
| NPI Number | 1013630771 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 0840729562 |
|---|---|
| Medicare Enrollment ID | O20250124003056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013630771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295487015 PECOS PAC ID: 2567840879 Enrollment ID: I20220527000170 |
| Provider Name | Krysta Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255982872 PECOS PAC ID: 2668901380 Enrollment ID: I20250213002076 |
| Provider Name | Gary Steven Bray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154512473 PECOS PAC ID: 5698292597 Enrollment ID: I20250505001810 |
| Provider Name | Adrienne Pietraszka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154840254 PECOS PAC ID: 4284909698 Enrollment ID: I20250506000157 |
| Provider Name | Michelle Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821657636 PECOS PAC ID: 1759810476 Enrollment ID: I20250506000548 |
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