Active NPI
Jose Alberto Valentin, PHD, LPC, LMHC
- Counselor
- Ellington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5162
- Practice address
- 420 Somers Rd Unit 2a
Ellington, CT 06029-2629 - Phone
- (203) 648-1054
- NPI assigned
- May 17, 2017
- Last updated
- May 15, 2025
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMHC10004283 | MA | |
| Counselor | 101Y00000X | 5162 | CT | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TAC-III-05-20-4196 | PR | |
| Mental Health Counselor | 101YM0800X | 5162 | CT | |
| Mental Health Counselor | 101YM0800X | LMHC10004283 | MA | |
| Pastoral Counselor | 101YP1600X | TCC-I-05-20-4196 | PR | |
| Professional Counselor | 101YP2500X | 5162 | CT | |
| Professional Counselor | 101YP2500X | LMHC10004283 | MA |
Addresses
Primary practice location
420 Somers Rd Unit 2a
Ellington, CT 06029-2629
Mailing address
PO Box 83
Ellington, CT 06029-0083
Phone (203) 648-1054
Other names 1
- Dr. Jose A. Valentin, PHD
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 Somers Rd
Unit 2a
Ellington, CT 06029-2629
Phone (203) 648-1054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5162 | CT | MD | Mental Health Counselor |
| LMHC10004283 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Existential Counseling and Consulting Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Mindscapes Counseling PLLC | Past | Accepting new patients |
Locations
420 Somers Rd
Unit 2A
Ellington, CT 06029
Phone (203) 648-1054
Organizations & group practices 2
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.
-
- Professional Counselor
- Ellington, CT
- NPI 1760107528
Addiction (Substance Use Disorder)
-
dba Tides of Mind Counseling
- Clinical Social Worker
- Waterbury, CT
- NPI 1295130581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1902333172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060290083",
"telephone_number": "203-648-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 SOMERS RD UNIT 2A",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060292629",
"telephone_number": "203-648-1054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN",
"first_name": "JOSE",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "PHD, LPC, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "LMHC10004283",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "5162",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PR",
"license": "TAC-III-05-20-4196",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "5162",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "LMHC10004283",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "PR",
"license": "TCC-I-05-20-4196",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "5162",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "LMHC10004283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "VALENTIN, PHD",
"middle_name": "A.",
"prefix": "DR.",
"credential": "CLINICAL PSYCHOLOGY",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ellington, CT
- The Bullock Company, Inc.
- The Growing Tree Institute LLC
- Robin N Tripp, OTR/L
- Urgent Care Medical Center LLC (Priority Urgent Care)
- Chrissie Niza Valentin, APRN, PMHNP-BC
- Joann Lois Vallera, D.D.S.
- Brittany Erin Verge, ATC
- Waire LLC (ellington behavioral health)
- West Meadow Counseling, P.C.
- Emily Terese Wheeler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.