Active NPI
Samantha Jean Pelkey-Flock, LPC
- Professional Counselor
- Middletown, CT
National Provider Identifier
1316456239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46.004601
- Practice address
- 769 Newfield St Ste 9B
Middletown, CT 06457-1846 - Phone
- (203) 605-6902
- Fax
- (833) 301-2087
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 46.004601 | CT | Primary |
Addresses
Primary practice location
769 Newfield St Ste 9B
Middletown, CT 06457-1846
Mailing address
232 Bailey Rd
Middletown, CT 06457-2012
Phone (203) 605-6902
Other names 1
- Samantha Jean Pelkey
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 |
|---|---|---|---|
| 46.004601 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1316456239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 BAILEY RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572012",
"telephone_number": "203-605-6902",
"fax_number": "833-301-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 NEWFIELD ST STE 9B",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571846",
"telephone_number": "203-605-6902",
"fax_number": "833-301-2087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELKEY-FLOCK",
"first_name": "SAMANTHA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "46.004601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "PELKEY",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.