Active NPI
Arthur Joseph Roy, MS,BA,LPC
- Professional Counselor
- Waterbury, CT
National Provider Identifier
1891060026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2424
- Practice address
- 402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702-1701 - Phone
- (203) 575-0466
- Fax
- (203) 575-1817
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2424 | CT | Primary |
Addresses
Primary practice location
402 E Main St
Waterbury Op Adult Services
Waterbury, CT 06702-1701
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539532 | Other | CT | MHN/TRICARENORTH |
| NOT ELIGIBLE | Other | CT | CIGNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY |
| 5426745 | Other | CT | AETNA BEHAVIORAL HEALTH |
| 008049735 | Medicaid | CT | |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH/ OXFORD FREEDOM-LIBERTY WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| 539532 | Other | CT | MHN MANAGED HEALTH NETWORK |
| 060669107 | Other | CT | UBH/CONNECTICARE WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| 13540255 | Other | CT | CAQH |
| 14205 GROUP | Other | CT | BECON HEALTH STRATEGIES |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2424 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmore, Inc | Current | Accepting new patients |
Locations
141 E Main St
Fl 4
Waterbury, CT 06702
Phone 2035749000 ext. 1161
402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841379013
-
dba Wellmore, Inc.-Waterbury OP Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterbury, CT
- NPI 1962760561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1891060026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E MAIN ST",
"address_2": "WATERBURY OP ADULT SERVICES",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021701",
"telephone_number": "203-575-0466",
"fax_number": "203-575-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ARTHUR",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MS,BA,LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2424",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/TRICARENORTH",
"identifier": "539532",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "NOT ELIGIBLE",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "5426745",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008049735",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/ OXFORD FREEDOM-LIBERTY WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN MANAGED HEALTH NETWORK",
"identifier": "539532",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/CONNECTICARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13540255",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BECON HEALTH STRATEGIES",
"identifier": "14205 GROUP",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.