Pequot Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CT 000170 Issued in CT

Legal business name

PEQUOT COUNSELING CENTER, LLC

Practice address

230 Prospect Hill Rd
Groton, CT 06340-5545

Phone

(860) 536-2794

Fax

(860) 536-2794

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Kristin Lincoln, M.S., LPC

Title

Owner/President

Phone

(860) 536-2794

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1366760605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063405545",
            "telephone_number": "860-536-2794",
            "fax_number": "860-536-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063405545",
            "telephone_number": "860-536-2794",
            "fax_number": "860-536-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEQUOT COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "860-536-2794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "CT 000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962432872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nimesh K Patel, D.O.
• Katherine Anne Pearce, DPT
• Bobbi Peck, RBT
• Lauren Peladeau, DPT
• Isabel Q Pentell, LADC
• Michael Noel Alonzo Peralta
• Sarah Angela Pereira, LCSW
• Bethzaida Perez Villegas, LMSW
• Christine Perkins, MA
• Lori A Perry, LCSW

• Professional Counselor in Groton, CT
• Providers in Groton, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.