Individual provider Active NPI

Joel Thomas Peck

  • Mental Health Counselor
  • Rocky Hill, CT
National Provider Identifier
1376026567
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005748 Issued in CT
Practice address
2049 Silas Deane Hwy FL 2
Rocky Hill, CT 06067-2332
Phone
(860) 281-2241
NPI assigned
Sep 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005748 CT Primary
Professional Counselor 101YP2500X 5748 CT

Addresses

Primary practice location

2049 Silas Deane Hwy FL 2
Rocky Hill, CT 06067-2332

Mailing address

2049 Silas Deane Hwy # 2G
Rocky Hill, CT 06067-2332
Phone (860) 281-2241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001988 CT Practitioner - Mental Health Counselor 4183146806

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

222 Main St Ext
P.O. Box 1000
Middletown, CT 06457-1000

PO Box
Suite 1000
Middletown, CT 06457-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005748CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gilead Community Services, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Joel T Peck Counseling LLC Professional CurrentSince Jul 12, 2026 Accepting new patients
River Valley Counseling Center, Inc Mental Health PastSince Nov 12, 2014 Accepting new patients

Locations

230 Main Street Ext
Middletown, CT 06457
Phone (860) 343-5300

2049 Silas Deane Hwy
Ste 209
Rocky Hill, CT 06067

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1376026567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 SILAS DEANE HWY # 2G",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672332",
            "telephone_number": "860-281-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 SILAS DEANE HWY FL 2",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672332",
            "telephone_number": "860-281-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "005748",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "5748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.