Justin F Pegnataro, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0017467 Issued in CO

Practice address

3496 Whitney Ave Ste 202
Hamden, CT 06518-1973

Phone

(203) 859-1953

NPI assigned

Mar 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1831775949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3496 WHITNEY AVE STE 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181973",
            "telephone_number": "203-859-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 WHITNEY AVE STE 202",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181973",
            "telephone_number": "203-859-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Main St Ste 122",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "CT",
            "postal_code": "064682872",
            "country_code": "US",
            "telephone_number": "203-859-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEGNATARO",
        "first_name": "JUSTIN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0017467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hamden, CT
• Providers in Hamden, 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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.