Katharine Gardner Roach, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1 Walton PL
Stamford Counseling Center
Stamford, CT 06901-1522

Phone

(203) 323-8560

Fax

(203) 323-9937

NPI assigned

Jan 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Stamford Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Stamford, CT
  • NPI 1689960551
  NPD (past)

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1982975033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALTON PL",
            "address_2": "STAMFORD COUNSELING CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011522",
            "telephone_number": "203-323-8560",
            "fax_number": "203-323-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALTON PL",
            "address_2": "STAMFORD COUNSELING CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011522",
            "telephone_number": "203-323-8560",
            "fax_number": "203-323-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "KATHARINE",
        "middle_name": "GARDNER",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Stamford, CT
• Providers in Stamford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.