Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Denicola

Individual provider Counselor · NPI 1104318138

Andrew Denicola is a Mental Health Counselor in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC01160 (RI)
Counselor Taxonomy 101Y00000X

Record details

NPI number1104318138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence