Individual provider Active NPI

Concetta Antoinette Perreault-Prado, MA

  • Mental Health Counselor
  • Hartford, CT
National Provider Identifier
1205068129
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
999 Asylum Ave
Hartford, CT 06105-2416
Phone
(860) 548-0030
Fax
(860) 548-0041
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

999 Asylum Ave
Hartford, CT 06105-2416

Mailing address

999 Asylum Ave
Hartford, CT 06105-2416
Phone (860) 548-0030

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1205068129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052416",
            "telephone_number": "860-548-0030",
            "fax_number": "860-548-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052416",
            "telephone_number": "860-548-0030",
            "fax_number": "860-548-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT-PRADO",
        "first_name": "CONCETTA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.