Ventura Roach Capital LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

VENTURA ROACH CAPITAL LLC

Practice address

1 Birch Dr
Wallingford, CT 06492-5210

Phone

(201) 669-0057

NPI assigned

Apr 9, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Ventura Roach, LPC, RDTNPI 1942049887

Title

Owner

Phone

(201) 669-0057

Specialties & licenses 2

Addresses

Other names 1

• Dramatic Action Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Ventura Roach, MA, LPC, RDT

  • Mental Health Counselor
  • New Haven, CT
  • NPI 1942049887

  Drama Therapist

  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1528811569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BIRCH DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925210",
            "telephone_number": "201-669-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BIRCH DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925210",
            "telephone_number": "201-669-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ROACH CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "VENTURA ROACH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-669-0057",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, RDT"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Drama Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dramatic Action Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vantage Group, Inc
• Kerline Vassell Klaus, MD
• Lynn C Vaughan, RPT
• Rose I Vazquez-Santiago, LCSW,ACSW
• Amy J Veivia, PHARMD
• Mary Beth J Vientos, RPT
• Anthony Christopher Vignola, ATC
• Jose Leonardo Villa Uribe
• Debra L Vince, COTA
• Robert Anthony Violette

• Mental Health Counselor in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.