Mya Petchark, LADC
NPI 1144069840 · Addiction (Substance Use Disorder) Counselor · New London, CT
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mya Petchark, LADC is a Addiction (Substance Use Disorder) Counselor provider in New London, CT (NPI 1144069840).
Provider details
- NPI number
- 1144069840
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1565 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-05-22
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Mya Petchark's NPI number?
- Mya Petchark's National Provider Identifier (NPI) is 1144069840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mya Petchark's specialty?
- Mya Petchark is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Mya Petchark located?
- Mya Petchark's practice location on file with NPPES is 931 Bank St, New London, CT 06320-2702.
- What is Mya Petchark's phone number?
- The practice phone number listed in the NPPES registry for Mya Petchark is (860) 574-8252.
- Does Mya Petchark accept Medicare?
- Mya Petchark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mya Petchark's NPI active?
- Yes — Mya Petchark's NPI (1144069840) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.