Individual provider Active NPI

Arthur Joseph Roy, MS,BA,LPC

  • Professional Counselor
  • Waterbury, CT
National Provider Identifier
1891060026
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2424 Issued in CT
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

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
539532OtherCTMHN/TRICARENORTH
NOT ELIGIBLEOtherCTCIGNA BEHAVIORAL HEALTH
060669107OtherCTOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
5426745OtherCTAETNA BEHAVIORAL HEALTH
008049735MedicaidCT
060669107OtherCTHEALTHYCT WELLMORE GRP/FACILITY
060669107OtherCTUBH/ OXFORD FREEDOM-LIBERTY WELLMORE GRP/FACILITY
060669107OtherCTANTHEM BCBS OF CT WELLMORE GRP/FACILITY
539532OtherCTMHN MANAGED HEALTH NETWORK
060669107OtherCTUBH/CONNECTICARE WELLMORE GRP/FACILITY
060669107OtherCTUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
13540255OtherCTCAQH
14205 GROUPOtherCTBECON 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003533 CT Practitioner - Mental Health Counselor 3375981160 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2424CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmore, Inc CurrentSince Feb 14, 2025 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.

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

Verify at the official NPI Registry.