Individual provider Active NPI

Diego Armando Peralta-Calderon

  • Professional Counselor
  • New Britain, CT
National Provider Identifier
1265076012
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5852 Issued in CT
Practice address
233 Main St
New Britain, CT 06051-4204
Phone
(860) 224-8192
Fax
(860) 224-6968
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 5852 CT Primary

Addresses

Primary practice location

233 Main St
New Britain, CT 06051-4204

Mailing address

233 Main St
New Britain, CT 06051-4204
Phone (860) 224-8192

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
I20240118004118 CT Practitioner - Mental Health Counselor 3870945447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Oct 8, 2024 Accepting new patients
Flourish to Better Health, LLC Professional Past Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1265076012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514204",
            "telephone_number": "860-224-8192",
            "fax_number": "860-224-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514204",
            "telephone_number": "860-224-8192",
            "fax_number": "860-224-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA-CALDERON",
        "first_name": "DIEGO",
        "middle_name": "ARMANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-05",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.