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PAUL AREVALO LADC
NPI 1093086860
Counselor - Mental Health in Stamford, CT

Active since January 25, 2012PECOS Enrolled
43 CRESCENT ST, STAMFORD, CT 06906(203) 219-5133 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Feb 17, 2023 (2 updates tracked since 2023).

About Paul Arevalo Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL AREVALO LADC (NPI 1093086860) is an individual mental health provider in Stamford, Connecticut, licensed in Connecticut (000863) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093086860
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL AREVALOCredential: LADC
Location Address43 CRESCENT STStamford, CT 06906-1816
Mailing Address13 Edmond StDarien, CT 06820-3111 · (203) 219-5133
Phone(203) 219-5133
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 25, 2012
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1093086860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 000863
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000863 (CT)
43 CRESCENT ST, Stamford, CT 06906
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Arevalo Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840785036
PECOS Enrollment IDI20251224002479
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Arevalo's NPI number?

The NPI number for Paul Arevalo is 1093086860. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Paul Arevalo located?

Paul Arevalo practices at 43 Crescent St, Stamford, CT 06906. The listed phone number is (203) 219-5133.

What is Paul Arevalo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Paul Arevalo enrolled in Medicare?

Yes. Paul Arevalo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Arevalo was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.