JOEL THOMAS PECK NPI 1376026567

NPI Information

  • NPI: 1376026567
  • Provider Name: JOEL THOMAS PECK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 230 MAIN STREET EXT
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 740-3435

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NPI Details

Joel Thomas Peck is a mental health counselor in Middletown, CT with 7 years of experience. Joel Thomas Peck NPI is 1376026567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 MAIN STREET EXT
MIDDLETOWN, CT
ZIP 06457-470
Phone: (860) 740-3435
Fax: (860) 344-3339

The NPI 1376026567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 9/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health005748CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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