Kerith Brook Counseling, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KERITH BROOK COUNSELING, LLC

Practice address

9 Cody Street
West Hartford, CT 06110

Phone

(860) 288-7017

Fax

(860) 288-7017

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Peta Lawson, LPCNPI 1033870365

Title

Clinical Director/Owner

Phone

(860) 288-7017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peta Lawson, LPC

  • Professional Counselor
  • West Hartford, CT
  • NPI 1033870365
  Medicare reassignment NPD Authorized official
• Eric Stillman

  • Professional Counselor
  • Bloomfield, CT
  • NPI 1942793344
  Medicare reassignment NPD
• Michael A. Rivera, L.C.S.W.

  • Clinical Social Worker
  • Mansfield Center, CT
  • NPI 1003209198

  Single Specialty

  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1417711847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CODY STREET",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06110",
            "telephone_number": "860-288-7017",
            "fax_number": "860-760-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CODY STREET",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06110",
            "telephone_number": "860-288-7017",
            "fax_number": "860-288-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERITH BROOK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "PETA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "860-288-7017",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly W Kelly, LCSW
• Neil William Kemp, O.D.
• Lori Kendrick, APRN
• Laurie Kennedy, APRN
• Sara Elizabeth Kerin, DMD
• Arlene E Kerlin, MD
• Kevin Purviance DMD LLC
• KGM Transportation LLC
• Mujeeb Khalique, M.D.
• Khmer Health Advocates, Inc.

• Clinic/Center in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.