Active NPI
Peter R Neal, M.ED, L.P.C.
- Professional Counselor
- Putnam, CT
National Provider Identifier
1861693376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 46.001936
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1836 - Phone
- (860) 928-6541
- Fax
- (860) 963-6429
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 46.001936 | CT | Primary |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1836
Mailing address
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219002305 | CT | Practitioner - Mental Health Counselor | 0749624690 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Hospital & facility affiliations
- Day Kimball Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46.001936 | CT | MD | Professional Counselor |
| 1936 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Healthcare, Inc. | Current | Accepting new patients | |
| University Pathologists, LLC | Current | Accepting new patients | |
| Day Kimball Healthcare, Inc. | Current | Accepting new patients | |
| Day Kimball Healthcare, Inc. | Current | Accepting new patients |
Locations
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- peter.neal.1@29658.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Putnam, CT
- NPI 1104680966
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- Anatomic Pathology Physician
- Providence, RI
- NPI 1568640886
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1861693376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-928-6541",
"fax_number": "860-963-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-928-6541",
"fax_number": "860-963-6429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "PETER",
"middle_name": "R",
"credential": "M.ED, L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "46.001936",
"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 14, 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.