Individual provider Active NPI

Peta Lawson, LPC

  • Professional Counselor
  • West Hartford, CT
National Provider Identifier
1033870365
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5297 Issued in CT
Practice address
9 Cody Street
West Hartford, CT 06110
Phone
(860) 288-7017
NPI assigned
Jan 8, 2022
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5297 CT Primary

Addresses

Primary practice location

9 Cody Street
West Hartford, CT 06110

Mailing address

9 Cody Street
West Hartford, CT 06110
Phone (860) 288-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240307000199 CT Practitioner - Mental Health Counselor 4183060619 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5297CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kerith Brook Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jun 1, 2025 Accepting new patients

Locations

39 Mill St
Ste 4
Berlin, CT 06037
Phone (860) 288-7017

100 Pearl St
Hartford, CT 06103
Phone (844) 437-7924

9 Cody St
West Hartford, CT 06110
Phone (860) 288-7017

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1033870365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CODY STREET",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06110",
            "telephone_number": "860-288-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CODY STREET",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06110",
            "telephone_number": "860-288-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "PETA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.