NPPES file of Aug 9, 2026

Jackie Berry, CSSA

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

Jackie Berry, CSSA is an addiction (substance use disorder) counselor with a practice address in Pawtucket, Rhode Island, and NPI 1770837734, issued on Oct 30, 2012. Check the license with the Rhode Island board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1770837734
Name
Jackie Berry
Credential
CSSA
Primary taxonomy
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice location
166 Pawtucket Ave, Pawtucket, RI 02860
Phone
(401) 722-4644
Enumerated
Oct 30, 2012
Record last updated
Oct 30, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(401) 722-5280
Medicaid ID
GH56996 RI
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 166 Pawtucket Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Hannah Camplin, RNRegistered Nurse1528739745
  2. Carolynne Davis, L.C.D.PAddiction (Substance Use Disorder) Counselor1265594774
  3. Meredith Denno, LICSW LCDPMental Health Counselor1194828749
  4. Kelly Levesque, LCDPAddiction (Substance Use Disorder) Counselor1679877906
  5. Donna RenshawCounselor1376955609
  6. Dianne Shuttlesworth, LCDCSAddiction (Substance Use Disorder) Counselor1871684688

Verify Jackie Berry in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Rhode Island board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Rhode Island license search

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Jackie Berry among 560 addiction (substance use disorder) counselor records in Rhode Island

Jackie Berry, CSSA is one of 560 addiction (substance use disorder) counselor records with a practice address in Rhode Island. 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 35% of them.

  • NPI issued2012 · 35% of these records are older, 63% newer
  • In a Medicare fileNo · 1% of these records are
  • In the CMS Doctors and Clinicians fileNo · 3% of these records are
  • Record last updated2012 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

61 addiction (substance use disorder) counselor records list a practice address in Pawtucket

They are 61 of the 1,284 NPPES records with a practice address in Pawtucket, and 560 addiction (substance use disorder) counselor records in Rhode Island. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes

  1. Dennis Auger, LCDPPawtucket, RI 028601871652800
  2. Brenda Beauregard, LCDPPawtucket, RI 028601659409647
  3. Suzanne Black, MS, MSWPawtucket, RI 028601255497988
  4. Moses Calouro, LCDPPawtucket, RI 028601508949629
  5. George CournoyerPawtucket, RI 028601902054356
  6. Catherine Cruz, LICSW, LCDPPawtucket, RI 028601700987351
  7. Carolynne Davis, L.C.D.PPawtucket, RI 028601265594774
  8. Frank O'Brien, LCDPPawtucket, RI 028601386864239

Common questions

What is Jackie Berry, CSSA's NPI number?

Jackie Berry, CSSA's National Provider Identifier (NPI) is 1770837734, issued on Oct 30, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Jackie Berry, CSSA located?

The NPPES record lists a practice address at 166 Pawtucket Ave, Pawtucket, RI, 02860. Phone: (401) 722-4644. Providers update this record themselves, so call before visiting.

How can I verify Jackie Berry, CSSA's license?

Search the Rhode Island board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.