Devin Elizabeth Peterson, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

828 Federal Rd Ste B
Brookfield, CT 06804-1847

Phone

(800) 611-0185

Fax

(800) 930-5241

NPI assigned

Oct 12, 2023

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Hiaah PCGroup PAC ID 9234589763, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hiaah PC

  • Mental Health Counselor
  • Brookfield, CT
  • NPI 1891434577
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1760263941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 FEDERAL RD STE B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041847",
            "telephone_number": "800-611-0185",
            "fax_number": "800-930-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 FEDERAL RD STE B",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041847",
            "telephone_number": "800-611-0185",
            "fax_number": "800-930-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DEVIN",
        "middle_name": "ELIZABETH",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Lynn Pearsall, OTR
• Kenneth Pellegrino, M.D.
• John Joseph Pendergast, PA-C
• Jenifer T Peralta Mercado
• Alexandra Peters, BCBA, LBA
• Matthew Petrovich, DPT
• Pierpointe Behavior Analysts of Connecticut, LLC
• Michael Martins Pinheiro, PMHNP
• Jennifer Pool, LCSW
• Kayla Praino, PA-C

• Mental Health Counselor in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.