Jesus Berrio
Counselor, Addiction (Substance Use Disorder) in Providence, RI. Individual provider (NPI-1).
NPI number1891209045
StatusActive
Last updated in NPPESNov 27, 2017
Details
- NPI
- 1891209045
- Entity type
- Individual (NPI-1)
- Name
- Jesus Berrio
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2017
- Last updated
- Nov 27, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDP00716 | RI | Yes |
Practice location
530 N Main StProvidence, RI 02904-5762
Phone 401-276-4100
Mailing address
530 N Main StProvidence, RI 02904-5762
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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