CHARLES PETERSON
NPI 1154798502
Counselor - Professional in Wethersfield, CT

Active since September 01, 2015
185 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 698-1680 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2018, Sep 6, 2018 (2 updates tracked since 2018).

About Charles Peterson NPPES

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

CHARLES PETERSON (NPI 1154798502) is an individual professional provider in Wethersfield, Connecticut, licensed in Connecticut (003293) and active in the NPI registry since September 2015. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154798502
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCHARLES PETERSON
Location Address185 SILAS DEANE HWYWethersfield, CT 06109
Mailing Address1487 Longmeadow StLongmeadow, MA 01106-2204 · (413) 726-8716
Sole ProprietorYes
Enumeration DateSeptember 1, 2015
Last NPPES UpdateSeptember 11, 20182 updates tracked since enumeration
NPI 1154798502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 003293
185 SILAS DEANE HWY, Wethersfield, CT 06109

Secondary Practice Locations 2

Location 1185 Silas Deane HwyWethersfield, CT 06109 · Phone (860) 698-1680
Location 21487 Longmeadow StLongmeadow, MA 01106-2204 · Phone (413) 726-8716

Other Identifiers 1

Medicaid115479-8502CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
185 SILAS DEANE HWY, 3RD FLOOR
WETHERSFIELD, CT 06109
Marriage & Family Therapist
185 SILAS DEANE HWY, SUITE # 320
WETHERSFIELD, CT 06109
Social Worker (Clinical)
185 SILAS DEANE HWY, 3RD FLOOR
WETHERSFIELD, CT 06109
Marriage & Family Therapist
185 SILAS DEANE HWY, 320
WETHERSFIELD, CT 06109
Optometrist
185 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Psychiatric/Mental Health)
185 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Optometrist
185 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Counselor (Mental Health)
185 SILAS DEANE HWY, THIRD FLOOR
WETHERSFIELD, CT 06109

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 Charles Peterson's NPI number?

The NPI number for Charles Peterson is 1154798502. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Charles Peterson located?

Charles Peterson practices at 185 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 698-1680.

What is Charles Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Charles Peterson was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.