Terry Roth Perreault, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001640 Issued in CT

Practice address

33 Highland St
New Britain, CT 06052-2013

Phone

(860) 224-9985

Fax

(860) 826-4995

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Terry Lee Perreault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1851468383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGHLAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522013",
            "telephone_number": "860-224-9985",
            "fax_number": "860-826-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HIGHLAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522013",
            "telephone_number": "860-224-9985",
            "fax_number": "860-826-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH PERREAULT",
        "first_name": "TERRY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000327",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035004",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "PERREAULT",
            "middle_name": "LEE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosana Magali Rosero
• Amanda Lipsky Ross, LCSW
• Moriah Ross, LCSW
• Stephanie Ross
• Eduardo Rostenberg, D.D.S
• Amanda E Roy
• Gerard M Roy, M.D.
• Jayna Roy
• Kimberly Roy I, RN
• Priya P Roy, MD

• Professional Counselor in New Britain, CT
• Providers in New Britain, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.