Individual provider Active NPI

Randall Pekari, LPC

  • Professional Counselor
  • Manchester, CT
National Provider Identifier
1407655707
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8189 Issued in CT
Practice address
97 S Main St
Manchester, CT 06040-6526
Phone
(860) 470-6002
NPI assigned
Mar 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8189 CT Primary

Addresses

Primary practice location

97 S Main St
Manchester, CT 06040-6526

Mailing address

97 S Main St
Manchester, CT 06040-6526
Phone (860) 470-6002

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
I20250418000899 CT Practitioner - Mental Health Counselor 6608391958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Counseling LLCGroup PAC ID 3678961075, 8 clinicians

Practice addresses (Care Compare)

97 Main St
Manchester, CT 06042-3141
Phone (860) 470-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8189CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Counseling, LLC CurrentSince Mar 7, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1407655707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406526",
            "telephone_number": "860-470-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406526",
            "telephone_number": "860-470-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKARI",
        "first_name": "RANDALL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "8189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.