Active NPI
Joseph M Petroro, LPC
- Counselor
- Torrington, CT
National Provider Identifier
1306254909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 81483
- Practice address
- 373 Prospect St
Torrington, CT 06790-5238 - Phone
- (860) 689-0084
- NPI assigned
- Jul 27, 2014
- Last updated
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 18489 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 81483 | CT | |
| Mental Health Counselor | 101YM0800X | 81483 | CT | |
| Professional Counselor | 101YP2500X | 81483 | CT | |
| Professional Counselor | 101YP2500X | 18489 | NC | |
| School Counselor | 101YS0200X | 81483 | CT | |
| Counselor | 101Y00000X | 81483 | CT | Primary |
Addresses
Primary practice location
373 Prospect St
Torrington, CT 06790-5238
Mailing address
PO Box 191
Torrington, CT 06790-0191
Phone (860) 485-4853
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 |
|---|---|---|---|
| 81483 | CT | MD | Professional Counselor |
| 18489 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1306254909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067900191",
"telephone_number": "860-485-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 PROSPECT ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067905238",
"telephone_number": "860-689-0084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRORO",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-27",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "18489",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "81483",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "81483",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "81483",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "18489",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CT",
"license": "81483",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "81483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.