Individual provider Active NPI

Victoria Antigiovanni Tompkins, M.S., LMFT

  • Marriage & Family Therapist
  • Bristol, CT
National Provider Identifier
1811046063
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001150 Issued in CT
Practice address
22 Pine St Ste 205
Bristol, CT 06010-6949
Phone
(860) 470-6204
Fax
(860) 540-1130
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 001150 CT Primary

Addresses

Primary practice location

22 Pine St Ste 205
Bristol, CT 06010-6949

Mailing address

46 High Meadow LN
Middlefield, CT 06455-1269
Phone (860) 888-2890

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
I20241017002547 CT Practitioner - Marriage and Family Therapist 1759813520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

46 High Meadow LN
Middlefield, CT 06455-1269
Phone (860) 470-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vicky Tompkins LMFT LLC Marriage & Family Therapist CurrentSince Aug 25, 2024 Accepting new patients

Locations

22 Pine St
Ste 205
Bristol, CT 06010
Phone (860) 506-5577

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1811046063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HIGH MEADOW LN",
            "city": "MIDDLEFIELD",
            "state": "CT",
            "postal_code": "064551269",
            "telephone_number": "860-888-2890",
            "fax_number": "860-540-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE ST STE 205",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106949",
            "telephone_number": "860-470-6204",
            "fax_number": "860-540-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "VICTORIA",
        "middle_name": "ANTIGIOVANNI",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.