Individual provider Active NPI

Rudolph J Simari Jr.

  • Addiction (Substance Use Disorder) Counselor
  • Bridgewater, CT
National Provider Identifier
1982755302
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
000513 Issued in CT
Practice address
250 Second Hill Rd
Bridgewater, CT 06752-1031
Phone
(203) 740-1700
Fax
(860) 354-2969
NPI assigned
Jan 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000513 CT Primary
Professional Counselor 101YP2500X 000007 CT

Addresses

Primary practice location

250 Second Hill Rd
Bridgewater, CT 06752-1031

Mailing address

250 Second Hill Rd
Bridgewater, CT 06752-1031
Phone (203) 740-1700

Other identifiers 7

IdentifierTypeStateIssuer
240000007CT06OtherCTLPC W
240000007CT07OtherCTLPC T
258639OtherCTMHN
P354065OtherCTOXFORD
240000007CT02OtherCTANTHEM B
20326OtherCTCIGNA
466903OtherCTVALUEOPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000007CTMDProfessional Counselor
000513CTMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982755302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SECOND HILL RD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067521031",
            "telephone_number": "203-740-1700",
            "fax_number": "860-354-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SECOND HILL RD",
            "city": "BRIDGEWATER",
            "state": "CT",
            "postal_code": "067521031",
            "telephone_number": "203-740-1700",
            "fax_number": "860-354-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMARI",
        "first_name": "RUDOLPH",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000513",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC W",
            "identifier": "240000007CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC T",
            "identifier": "240000007CT07",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "258639",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P354065",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B",
            "identifier": "240000007CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "20326",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "466903",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.