Individual provider Active NPI

Roxanne Kieda Pomeroy, J.D., M.A.

  • Marriage & Family Therapist
  • Simsbury, CT
National Provider Identifier
1083863666
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001457 Issued in CT
Practice address
945 Hopmeadow St
Simsbury, CT 06070-1865
Phone
(860) 573-8602
NPI assigned
Sep 18, 2008
Last updated
Jun 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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 001457 CT Primary

Addresses

Primary practice location

945 Hopmeadow St
Simsbury, CT 06070-1865

Mailing address

945 Hopmeadow St
Simsbury, CT 06070-1865
Phone (860) 573-8602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329000759 CT Practitioner - Marriage and Family Therapist 7416395223 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Master of Arts

State licenses

LicenseStateTypeSpecialty
001457CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinchot Counseling, LLC CurrentSince Feb 20, 2024 Accepting new patients
Pinchot Counseling Group, LLC Marriage & Family Therapist Past Accepting new patients

Locations

945 Hopmeadow St
Simsbury, CT 06070
Phone (860) 323-0633

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1083863666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701865",
            "telephone_number": "860-573-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701865",
            "telephone_number": "860-573-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "ROXANNE",
        "middle_name": "KIEDA",
        "name_prefix": "Mrs.",
        "credential": "J.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

Verify at the official NPI Registry.