1255459913 NPI number — JANET M MCELROY LMHC LMFT

Table of content: JANET M MCELROY LMHC LMFT (NPI 1255459913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255459913 NPI number — JANET M MCELROY LMHC LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCELROY
Provider First Name:
JANET
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMHC LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255459913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
249 TIFFANY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARWICK
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02889-5820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-258-0034
Provider Business Mailing Address Fax Number:
401-732-0156

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1116 CENTERVILLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02886-4209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-826-7300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MHC00103 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 07177000830 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MHC00103 . This is a "LICENSED MENTAL HEALTH CO" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0717000830 . This is a "MARRIAGE & FAMILY THER." identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".