Peter Perrotta, LPC., LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

44.001162 Issued in CT

Practice address

50 Albany Tpke Ste 3010
Canton, CT 06019-2555

Phone

(860) 751-9125

NPI assigned

Sep 19, 2015

Last updated

Oct 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Peter Perrotta Ms., LPC., Ladc., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Canton, CT
  • NPI 1831601913
  Authorized official Same address or phone

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1952770935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEEPWOOD DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013155",
            "telephone_number": "860-751-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE STE 3010",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192555",
            "telephone_number": "860-751-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTTA",
        "first_name": "PETER",
        "credential": "LPC., LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-19",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "44.001162",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Margaret O'Brien, RPH
• Kaitlyn Mary O'Connor, MSW
• Path: Personalized Approach to Health, LLC (wellness center)
• Perrotta Prosthetics and Orthotics LLC
• Louis M Perrotta, CPO
• Peter Perrotta Ms., LPC., Ladc., LLC
• Alyssa J Powers, DPT
• Andrea Prairie Tulley, LPC
• Quilt Autism and Speech Center Corp
• Tracy C. Reed, B.S.

• Addiction (Substance Use Disorder) Counselor in Canton, CT
• Providers in Canton, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.