Active NPI
Johanna Pike, LPC, MAAT
- Professional Counselor
- Putnam, CT
National Provider Identifier
1750745600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3414
- Practice address
- 134 Main St
Putnam, CT 06260-1920 - Phone
- (860) 288-2368
- NPI assigned
- Apr 7, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3414 | CT | Primary |
Addresses
Primary practice location
134 Main St
Putnam, CT 06260-1920
Mailing address
6 Ledgebrook Dr Ste D
Mansfield Center, CT 06250-1684
Phone (860) 833-2657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1750745600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LEDGEBROOK DR STE D",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501684",
"telephone_number": "860-833-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MAIN ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601920",
"telephone_number": "860-288-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIKE",
"first_name": "JOHANNA",
"credential": "LPC, MAAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.