Chantal Sylvie Peloquin, M.A., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8175 Issued in MA

Practice address

101 Arch St FL 8
Boston, MA 02110-7500

Phone

(978) 273-3396

NPI assigned

Nov 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Phoenix House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1982929592
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1407157993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PRENTICE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042215",
            "telephone_number": "413-222-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARCH ST FL 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021107500",
            "telephone_number": "978-273-3396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 High St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011051435",
            "country_code": "US",
            "telephone_number": "413-495-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELOQUIN",
        "first_name": "CHANTAL",
        "middle_name": "SYLVIE",
        "name_prefix": "Miss",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Christine Pelletier, MS
• Stephanie Lilly Pelletier, NP
• David Steven Pellman, M.D.
• Arber Pellumbi
• Emily K Peloquin-Pape, NP
• Grace L Peloquin, MD
• Danielle Pelosi, LICSW
• Morgan Pels
• Stephen I Pelton, MD
• Alon Peltz, M.D.

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.