Individual provider Active NPI

Kristina Joanne Chomick, LMFT

  • Marriage & Family Therapist
  • Glastonbury, CT
National Provider Identifier
1053621979
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001400 Issued in CT
Practice address
41C New London Tpke Ste 4
Glastonbury, CT 06033-4209
Phone
(860) 281-7862
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001400 CT Primary

Addresses

Primary practice location

41C New London Tpke Ste 4
Glastonbury, CT 06033-4209

Mailing address

41C New London Tpke Ste 4
Glastonbury, CT 06033-4209
Phone (860) 281-7862

Other identifiers 1

IdentifierTypeStateIssuer
004235942MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001400CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina J. Chomick, LMFT - Therapy, Supervision and Consulting SVCS Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1053621979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334209",
            "telephone_number": "860-281-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41C NEW LONDON TPKE STE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334209",
            "telephone_number": "860-281-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOMICK",
        "first_name": "KRISTINA",
        "middle_name": "JOANNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235942",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.