Active NPI
Heather Pelletier, LPC
- Professional Counselor
- Colchester, CT
National Provider Identifier
1114364023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002367
- Practice address
- 79A Norwich Ave
Colchester, CT 06415-1276 - Phone
- (860) 978-9098
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002367 | CT | Primary |
Addresses
Primary practice location
79A Norwich Ave
Colchester, CT 06415-1276
Mailing address
53 White Oak Dr
Colchester, CT 06415-1962
Phone (860) 978-9098
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002367 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1114364023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 WHITE OAK DR",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151962",
"telephone_number": "860-978-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79A NORWICH AVE",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151276",
"telephone_number": "860-978-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "HEATHER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.