Active NPI
Lauren E Pelletier, MSW
- Professional Counselor
- Hartford, CT
National Provider Identifier
1609218908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13740
- Practice address
- 76 New Britain Ave
Hartford, CT 06106-3305 - Phone
- (860) 545-9300
- Fax
- (860) 343-7379
- NPI assigned
- Jul 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 13740 | CT | Primary |
Addresses
Primary practice location
76 New Britain Ave
Hartford, CT 06106-3305
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other practice location 1
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13740 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients |
Locations
76 New Britain Ave
Hartford, CT 06106
Phone (860) 545-9300
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
Interoperability endpoints
- lauren.pelletier@chcict.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1609218908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 NEW BRITAIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063305",
"telephone_number": "860-545-9300",
"fax_number": "860-343-7379"
}
],
"practiceLocations": [
{
"address_1": "141 E Main St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067022310",
"country_code": "US",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLETIER",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-27",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "13740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.