Kelly Ann Peraino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

003336 Issued in CT

Practice address

116 Old Kings Hwy
Wilton, CT 06897-3723

Phone

(203) 858-2636

NPI assigned

Apr 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174377220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OLD KINGS HWY",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973723",
            "telephone_number": "203-858-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OLD KINGS HWY",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973723",
            "telephone_number": "203-858-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAINO",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Pasquel, DPT
• Dev Patel, LCSW
• Shefali Niraj Patel, CCC SLP
• Pcah CT Cares LLC
• Kenneth Peisecki, OT
• Suzanne N. Perlman, MSW
• Marni Phillips, LCSW
• Steven E Phillips, MD
• Alisa Nicole Pillai, LCSW
• Agota Pongor, COTA

• Marriage & Family Therapist in Wilton, CT
• Providers in Wilton, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.