Individual provider Active NPI

Aditi H Gohil, LPC

  • Mental Health Counselor
  • Waterford, CT
National Provider Identifier
1720243710
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2760 Issued in CT
Practice address
567 Vauxhall Street Ext Ste 303
Waterford, CT 06385-4341
Phone
(860) 800-2421
Fax
(860) 308-1541
NPI assigned
Jul 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2760 CT Primary

Addresses

Primary practice location

567 Vauxhall Street Ext Ste 303
Waterford, CT 06385-4341

Mailing address

567 Vauxhall Street Ext Ste 303
Waterford, CT 06385-4341
Phone (860) 800-2421

Other names 1

  • Aditi Desai Former name

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
I20260330001889 CT Practitioner - Mental Health Counselor 6002391950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

567 Vauxhall St Ext
Suite 303
Waterford, CT 06385-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2760CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Connections, LLC Mental Health CurrentSince Aug 23, 2020 Accepting new patients

Locations

567 Vauxhall Street Ext
Ste 207
Waterford, CT 06385
Phone (860) 235-3361

567 Vauxhall Street Ext
Ste 303
Waterford, CT 06385
Phone (860) 800-2421

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": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1720243710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT STE 303",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854341",
            "telephone_number": "860-800-2421",
            "fax_number": "860-308-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT STE 303",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854341",
            "telephone_number": "860-800-2421",
            "fax_number": "860-308-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOHIL",
        "first_name": "ADITI",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "2760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADITI",
            "last_name": "DESAI",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.