Individual provider · Type 1 NPI

John Anthony Cipolla Jr., LMHC

Mental Health Counselor · Providence, RI

NPI number 1639989262 Active

Practice location

345 Blackstone Blvd
Providence, RI 02906-4800

Mailing address

12 Eagle St Unit 417
Providence, RI 02908-5662

Other practice locations

  • 1443 Hartford Ave, Johnston, RI 02919-3224 · (401) 273-8100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC01783 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1639989262

John Anthony Cipolla Jr., LMHC's National Provider Identifier is 1639989262, issued on Jan 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Aug 13, 2026.