JOSEPH MATTHEW PELLETIER


Address: 927 S Walter Reed Dr, Suite 12, Arlington, VA 22204-2380
Phone: 7034862786

JOSEPH MATTHEW PELLETIER (NPI# 1104927813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104927813
Entity Type Individual
Full Name JOSEPH MATTHEW PELLETIER
Credential L.P.C.
Practice Address 927 S Walter Reed Dr
Suite 12
Arlington
VA 22204-2380
Practice Telephone 7034862786
Practice Fax Number 7032710288
Mailing Telephone 7034862786
Enumeration Date 2006-09-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710000467 VA Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
0701001867 VA Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist 0717000213 VA Behavioral Health & Social Service Providers

Other Providers JOSEPH PELLETIER

NPI Name Taxonomy Address Enumeration
1649258930 Joseph Peter Ray Pelletier Pathology 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-5300 2006-01-06
1659769289 Joseph Lawrence Pelletier Counselor 33 Main St., North Berwick, ME 03906 2015-01-06
1003828419 Joseph C Pelletier Pediatrics 44 S Main St, Randolph, VT 05060-1381 2006-08-13

Office Location

Street Address 927 S WALTER REED DR
SUITE 12
City ARLINGTON
State VA
Zip Code 22204-2380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528199346 Betsy J Cooper Psychiatry & Neurology 927 S Walter Reed Dr, Suite 12, Arlington, VA 22204-2380 2007-03-07

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1295397180 Gary Zabunian Counselor 2523 Washington Blvd, Arlington, VA 22201-1117 2019-07-01
1811331200 Denesh Singh Counselor 1521 N Cooper St Ste 208, Arlington, TX 76011-5522 2013-04-29
1568722445 Kelli Jeanne Roark Counselor 4511 188th St Ne, Arlington, WA 98223-7778 2012-05-24
1306122718 Liselotte Caroline Draney Counselor 602 N Edgewood St, Arlington, VA 22201-1932 2011-10-30
1023310026 Christopher Demetrius Lattimore Counselor 3210 Pleasant Valley Ln Ste B, Arlington, TX 76015-2906 2010-11-23
1366778110 Janice D Dolan Counselor 214 Billings St, Suite 240, Arlington, TX 76010-5404 2009-10-29
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Competitor

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City ARLINGTON
Zip Code 22204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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