Active NPI
Peter Lo Iacono, MA, LADC
- Addiction (Substance Use Disorder) Counselor
- Keene, NH
National Provider Identifier
1003919051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0588
- Practice address
- 800 Park Ave.
Keene, NH 03431 - Phone
- (603) 499-1775
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0588 | NH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000151 | VT |
Addresses
Primary practice location
800 Park Ave.
Keene, NH 03431
Mailing address
PO Box 921
Greenfield, MA 01302
Phone (802) 257-7785
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000151 | Other | VT | VERMONT ALCOHOL AND DRUG COUNSELOR CERTIFICATION BOARD |
| 0588 | Other | NH | NEW HAMPSHIRE BOARD OF ALCOHOL &OTHER DRUG ABUSE PROFESSIONAL PRACTICE |
| 2221 | Other | MA | MASSACHUSETTS BUREAU OF SUBSTANCE ABUSE SERVICES |
| 3104370 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000151 | VT | MD | Addiction (Substance Use Disorder) Counselor |
| 0588 | NH | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1003919051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 921",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "01302",
"telephone_number": "802-257-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PARK AVE.",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-499-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO IACONO",
"first_name": "PETER",
"credential": "MA, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0588",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "000151",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT ALCOHOL AND DRUG COUNSELOR CERTIFICATION BOARD",
"identifier": "000151",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE BOARD OF ALCOHOL &OTHER DRUG ABUSE PROFESSIONAL PRACTICE",
"identifier": "0588",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS BUREAU OF SUBSTANCE ABUSE SERVICES",
"identifier": "2221",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3104370",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.