Active NPI
Anne Peterson, LPC
- Professional Counselor
- Centerbrook, CT
National Provider Identifier
1346515723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001920
- Practice address
- 90 Main St Ste 103B
Centerbrook, CT 06409-1057 - Phone
- (860) 767-0444
- Fax
- (860) 767-0444
- NPI assigned
- Mar 19, 2012
- Last updated
- Jun 22, 2021
- 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 | 001920 | CT | |
| Professional Counselor | 101YP2500X | 001920 | CT | Primary |
Addresses
Primary practice location
90 Main St Ste 103B
Centerbrook, CT 06409-1057
Mailing address
P.O. Box 271
Essex, CT 06426
Phone (860) 767-0444
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 |
|---|---|---|---|
| 001920 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Peterson LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1346515723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 271",
"city": "ESSEX",
"state": "CT",
"postal_code": "06426",
"telephone_number": "860-767-0444",
"fax_number": "860-767-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 MAIN ST STE 103B",
"city": "CENTERBROOK",
"state": "CT",
"postal_code": "064091057",
"telephone_number": "860-767-0444",
"fax_number": "860-767-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ANNE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001920",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerbrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.