Nevadomski Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEVADOMSKI COUNSELING LLC

Practice address

687 Straits Tpke Ste 1C
Middlebury, CT 06762-2846

Phone

(203) 408-2420

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Paul Nevadomski

Title

Office Manager

Phone

(203) 408-2420

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Elisa Klepacki, LPC

  • Counselor
  • Hartford, CT
  • NPI 1114341211
  Medicare reassignment NPD
• Imani Charles, LPC

  • Mental Health Counselor
  • Danbury, CT
  • NPI 1689456600
  Medicare reassignment
• Jennifer Marie Nevadomski, LPC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1558012617
  Medicare reassignment

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1700668167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SHANE DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882678",
            "telephone_number": "516-204-3196",
            "fax_number": "203-204-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 STRAITS TPKE STE 1C",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622846",
            "telephone_number": "203-408-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Shane Dr",
            "address_purpose": "LOCATION",
            "city": "Southbury",
            "state": "CT",
            "postal_code": "064882678",
            "country_code": "US",
            "telephone_number": "203-632-9818",
            "fax_number": "203-204-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEVADOMSKI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "NEVADOMSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-408-2420"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naugatuck Valley Women'S Health Specialists, P.C.
• Naugatuck Valley Womens Health Specialists PC
• Nephrology and Hypertension Assoc PC
• Laura Jean Nesta, LCSW
• Shobha Neupane
• Jennifer Marie Nevadomski, LPC
• New Beginnings Counseling LLC
• Roberta Nole, MAPT, CPED
• Emma O'Neil, AGNP-C
• Lisa M Oliveira, APRN

• Professional Counselor in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.