Individual provider Active NPI

David L Pelletier, LMHC

  • Mental Health Counselor
  • New London, NH
National Provider Identifier
1013089689
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
263 Issued in NH
Practice address
35 Newport Rd
New London, NH 03257-5413
Phone
(603) 865-1321
Fax
(603) 865-1327
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 068.0000600 VT
Mental Health Counselor 101YM0800X 263 NH Primary

Addresses

Primary practice location

35 Newport Rd
New London, NH 03257-5413

Mailing address

35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321

Other practice location 1

85 Mechanic St
Suite 360 Recovery Center
Lebanon, NH 03766
Phone (603) 448-5610

Other practice location 2

251 Elm St
Claremont, NH 03743-4940
Phone (603) 865-1321

Other practice location 3

144 Highland St
Plymouth, NH 03264-1240
Phone (603) 865-1321

Other practice location 4

53 S Main St Ste 206&208
Hanover, NH 03755-2022
Phone (603) 865-1321

Other practice location 5

9 Hanover St
Suite 2 West Central Services Inc
Lebanon, NH 03766
Phone (603) 448-0126

Other practice location 6

2 Buck Rd Ste J
Hanover, NH 03755-2715
Phone (603) 865-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103001883 NH Practitioner - Mental Health Counselor 2860842812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of New London PLLCGroup PAC ID 0042369910, 45 clinicians

Practice addresses (Care Compare)

2 Buck Rd
Hanover, NH 03755-2715
Phone (603) 865-1321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068.0000600VTMDMental Health Counselor
263NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
West Central Services, Inc Past Accepting new patients
West Central Services, Inc. Past Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

2 Buck Rd
Hanover, NH 03755
Phone (603) 448-6940

2 Buck Rd
Ste C
Hanover, NH 03755

53 S Main St
Ste 206208
Hanover, NH 03755

2 Buck Rd
Ste J
Hanover, NH 03755
Phone 6038651321 ext. 161

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1013089689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Mechanic St",
            "address_2": "Suite 360 Recovery Center",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03766",
            "country_code": "US",
            "telephone_number": "603-448-5610",
            "fax_number": "603-448-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Elm St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037434940",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Highland St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641240",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 S Main St Ste 206&208",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "NH",
            "postal_code": "037552022",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Hanover St",
            "address_2": "Suite 2 West Central Services Inc",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03766",
            "country_code": "US",
            "telephone_number": "603-448-0126",
            "fax_number": "603-448-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Buck Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "NH",
            "postal_code": "037552715",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0000600",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.