Individual provider Active NPI

Jose Alberto Valentin, PHD, LPC, LMHC

  • Counselor
  • Ellington, CT
National Provider Identifier
1902333172
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5162 Issued in CT
Practice address
420 Somers Rd Unit 2a
Ellington, CT 06029-2629
Phone
(203) 648-1054
NPI assigned
May 17, 2017
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001809 CT Practitioner - Mental Health Counselor 8224480207 Reassigns benefits to 1 organization

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
Existential Counseling and Consulting ServicesGroup PAC ID 7315399391, 2 clinicians

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

LicenseStateTypeSpecialty
5162CTMDMental Health Counselor
LMHC10004283MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Existential Counseling and Consulting Services Addiction (Substance Use Disorder) CurrentSince Nov 29, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.