Individual provider Active NPI

Roxanne Lee Zamkovsky, LADC

  • Addiction (Substance Use Disorder) Counselor
  • New Hartford, CT
National Provider Identifier
1093685687
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1645 Issued in CT
Practice address
162 Burwell Rd
New Hartford, CT 06057-4111
Phone
(860) 733-5634
NPI assigned
Nov 7, 2025
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1645 CT Primary

Addresses

Primary practice location

162 Burwell Rd
New Hartford, CT 06057-4111

Mailing address

162 Burwell Rd
New Hartford, CT 06057-4111
Phone (860) 733-5634

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
1645CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle LLC Addiction (Substance Use Disorder) CurrentSince Jan 4, 2026 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, 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": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1093685687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BURWELL RD",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060574111",
            "telephone_number": "860-733-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BURWELL RD",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060574111",
            "telephone_number": "860-733-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMKOVSKY",
        "first_name": "ROXANNE",
        "middle_name": "LEE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.