Individual provider Active NPI

Morgan Poeta, LPC

  • Professional Counselor
  • Bristol, CT
National Provider Identifier
1114593993
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
004787 Issued in CT
Practice address
123 Middle St
Bristol, CT 06010-7404
Phone
(860) 281-2280
Fax
(860) 499-3514
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 004787 CT
Professional Counselor 101YP2500X 004787 CT Primary

Addresses

Primary practice location

123 Middle St
Bristol, CT 06010-7404

Mailing address

123 Middle St
Bristol, CT 06010-7404
Phone (860) 281-2280

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
I20240817000017 CT Practitioner - Mental Health Counselor 5496293755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Peaceful Mind Behavioral Health and Wellness LLCGroup PAC ID 0941683056, 15 clinicians

Practice addresses (Care Compare)

123 Middle St
Bristol, CT 06010-7404
Phone (860) 281-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004787CTMDDentist
4787CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Jul 12, 2024 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Mental Health CurrentSince Oct 24, 2024 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Mental Health CurrentSince Apr 27, 2025 Accepting new patients

Locations

123 Middle St
Bristol, CT 06010
Phone (860) 281-2280

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

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, 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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1114593993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107404",
            "telephone_number": "860-281-2280",
            "fax_number": "860-499-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107404",
            "telephone_number": "860-281-2280",
            "fax_number": "860-499-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POETA",
        "first_name": "MORGAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "004787",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.