Active NPI
Elyse Peterson, LPCA
- Mental Health Counselor
- Watertown, CT
National Provider Identifier
1932004777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6918
- Practice address
- 51 Depot St Ste 522
Watertown, CT 06795-2685 - Phone
- (860) 387-5689
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6918 | CT | Primary |
Addresses
Primary practice location
51 Depot St Ste 522
Watertown, CT 06795-2685
Mailing address
297 Robinwood Rd
Waterbury, CT 06708-2467
Other names 1
- Elyse Malecki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1932004777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 ROBINWOOD RD",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 DEPOT ST STE 522",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952685",
"telephone_number": "860-387-5689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ELYSE",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "6918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELYSE",
"last_name": "MALECKI",
"credential": "LPCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.