Organization Active NPI

Peppertree Counseling, LLC

  • Mental Health Counselor
  • Bethel, CT
National Provider Identifier
1326620097
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEPPERTREE COUNSELING, LLC
Practice address
14 Depot PL Ste 4
Bethel, CT 06801-2540
Phone
(203) 292-0856
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Ms. Danielle Monroe, LPCNPI 1639757396
Title
Provider/Mental Health Counselor
Phone
(203) 292-0856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

14 Depot PL Ste 4
Bethel, CT 06801-2540

Mailing address

9 Limekiln CT
Bethel, CT 06801-3234
Phone (203) 292-0856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219000369 CT Part B Supplier - Clinic/Group Practice 3577907583 Receives reassigned benefits from 1 practitioner
Practice locations: Bethel, CT

National Provider Directory

National Provider Directory

Locations

14 Depot Pl
Ste 4
Bethel, CT 06801
Phone (203) 292-0856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1326620097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LIMEKILN CT",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013234",
            "telephone_number": "203-292-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEPOT PL STE 4",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012540",
            "telephone_number": "203-292-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERTREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PROVIDER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "203-292-0856",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.