ANDREW DENICOLA – Mental Health Counselor, NPI 1104318138

ANDREW DENICOLA is a healthcare provider. based in Providence, Rhode Island. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MHC01160 (RI). The NPI Number for ANDREW DENICOLA is 1104318138

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DENICOLA
NPI
1104318138
Phone
Not provided
Address
825 CHALKSTONE AVE
Enumeration Date
5 June 2018
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014562000
Graduation Year
2018 (8 years ago)
PAC ID
6305285073
Group Practice PAC ID
0547492696
Professional Enrollment ID
I20240415000127
Address ID
RI029084728PR825XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

340 MENTAL HEALTH COUNSELOR in RI

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Provider Addresses for ANDREW DENICOLA

  • 825 CHALKSTONE AVE

    PROVIDENCE, RI 029084728

    Phone:

    Type: Mailing

  • 111, Howard Avenue, John O. Pastore Complex, Cranston, Providence County, Rhode Island, 02920, United States

    CRANSTON, RI 029203001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240415000127IMental Health CounselorRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02908)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547492696View full group profile
NameSpecialtyState
Medical Oncology, Internal MedicineRI
Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology), Interventional CardiologyRI
Thoracic SurgeryRI
Mental Health CounselorRI
-RI
Orthopedic SurgeryRI
H E M A T O L O G Y/ O N C O L O G YRI
Physician AssistantRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

Can I verify ANDREW DENICOLA with an NPI only?
You can start verification with NPI 1104318138 for ANDREW DENICOLA, then check state licensing separately.
Is ANDREW DENICOLA listed as active for patients and plans?
The listing shows ANDREW DENICOLA as active in the NPI system.
What is ANDREW DENICOLA best known for clinically?
Directory data describes ANDREW DENICOLA with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREW DENICOLA on a map?
Expect Providence, Rhode Island as a primary anchor for ANDREW DENICOLA unless the record lists multiple sites.
Why does ANDREW DENICOLA have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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