Active NPI
Rudolph J Simari Jr.
- Addiction (Substance Use Disorder) Counselor
- Bridgewater, CT
National Provider Identifier
1982755302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000513
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240000007CT06 | Other | CT | LPC W |
| 240000007CT07 | Other | CT | LPC T |
| 258639 | Other | CT | MHN |
| P354065 | Other | CT | OXFORD |
| 240000007CT02 | Other | CT | ANTHEM B |
| 20326 | Other | CT | CIGNA |
| 466903 | Other | CT | VALUEOPTIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000007 | CT | MD | Professional Counselor |
| 000513 | CT | MD | Gerontology 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.