Active NPI
Kristina Joanne Chomick, LMFT
- Marriage & Family Therapist
- Glastonbury, CT
National Provider Identifier
1053621979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235942 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001400 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Marriage & Family Therapist
- West Hartford, CT
- NPI 1992118095
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.