2026 NPPES data Counselor NPI 1104318138
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ANDREW DENICOLA

Counselor in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
What the federal data reveals: ANDREW DENICOLA is a Counselor ([object Object]) practicing in PROVIDENCE, Rhode Island .

What stands out: ANDREW DENICOLA specializes in Counselor and practices in PROVIDENCE, Rhode Island, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.

ANDREW DENICOLA at a glance

Quality data not reported

NPI registry status

Active

Issued 06/05/2018

NPI 1104318138

Primary specialty

Counselor

High-volume

118,563 US NPIs in this specialty

Specialty distribution in Rhode Island

How Counselor compares to other specialties among Rhode Island providers

Rhode Island providers

Counselor share within Rhode Island

1. Counselor42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Counselor share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Counselor (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Counselor ABMS/AOA estimate

Est. board-certified rate (Counselor) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Counselor) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW DENICOLA is a Counselor provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1104318138. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW DENICOLA appears in the CMS NPPES registry as a Counselor provider at 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908, with a listed phone of (401) 456-2000. NPI 1104318138 was issued on 06/05/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DENICOLA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Counselor providers operate outside Part D entirely.

Counselor is a high-volume specialty nationwide, with 118,563 enrolled providers across 56 states and an average of 648 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Provider Details

NPI 1104318138
Specialty Counselor
Gender Male
NPI Issued 06/05/2018

Hospital and facility affiliations

Facilities where ANDREW DENICOLA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PROSPECT CHARTERCARE RWMC, LLC
PROVIDENCE, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Counselor Overview

How ANDREW DENICOLA fits within the Counselor landscape nationally.

118,563
Counselor Providers in US
56
States with Counselor
648
Avg Claims per Provider

Nearby Counselor Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as DENICOLA.

Compare Counselor nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW DENICOLA's specialty?
ANDREW DENICOLA specializes in Counselor and practices in PROVIDENCE, Rhode Island.
Where is ANDREW DENICOLA located?
ANDREW DENICOLA is located at 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908. Phone: (401) 456-2000.
What is ANDREW DENICOLA's NPI number?
ANDREW DENICOLA's National Provider Identifier (NPI) is 1104318138, issued on 06/05/2018.
How many Counselor providers are there in the US?
There are 118,563 Counselor providers across 56 states in the US. The average Counselor provider writes 648 Medicare Part D claims per year.
Does ANDREW DENICOLA accept Medicare?
ANDREW DENICOLA appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW DENICOLA's credentials?
ANDREW DENICOLA's NPI is 1104318138. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology