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Desirae Brouillard , MA

Counselor • Johnston, RI

Active NPI 1750723656 Individual Practitioner Female Practitioner
Practice location in NPPES

1443 Hartford Ave
Johnston, RI 029193224

Call 4012738100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1443 Hartford Ave

Johnston, RI 029193224

Telephone 4012738100
Fax 4018618696
Organization at the Same NPPES Address or Phone
Gateway Healthcare, Inc Facility NPI 1184658577

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Johnston and Rhode Island

29 active clinicians are listed under Counselor with a practice address in Johnston, RI (412 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Johnston

3.4% of these 29 clinicians have the CMS telehealth indicator.

10.3% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1750723656 (RI)
Medicaid ID
DB98591 (RI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Farhad Amani , DO

Psychiatry & Neurology - Psychiatry

NPI 1689056632

Doctor of Osteopathic Medicine (D.O.)

NPI 1972780344
Dr. Omer Cermik , MD

Psychiatry & Neurology - Psychiatry

NPI 1093721805

Doctor of Medicine (M.D.)

NPI 1205153962
Ellen Fitzgerald-Mccallum , LICSW

Social Worker - Clinical

NPI 1104149616

Licensed Independent Clinical Social Worker

Gina Mullen , LICSW

Social Worker - Clinical

NPI 1881856961

Licensed Independent Clinical Social Worker

Career & Practice History

NPI enumerated July 22, 2013.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1750723656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2013
Last Update: May 17, 2016
Sole Proprietor: No

Other Counselors in Johnston

Healthcare providers in Johnston

Mailing Address

1443 Hartford Ave

Johnston, RI 029193224

Phone: 4012738100

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.