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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THERESA NAOMIMA SIMBOLON LPC
NPI 1790610681
Counselor - Mental Health in Wallingford, CT

Active since June 15, 2026
300 CHURCH ST, WALLINGFORD, CT 06492(203) 314-0940 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Theresa Naomima Simbolon Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA NAOMIMA SIMBOLON LPC (NPI 1790610681) is an individual mental health provider in Wallingford, Connecticut, licensed in Connecticut (9825) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1790610681
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA NAOMIMA SIMBOLONCredential: LPC
Location Address300 CHURCH STWallingford, CT 06492
Mailing Address301 Winchester Ave Apt 104New Haven, CT 06511-8054
Phone(203) 314-0940
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 14, 2026
✔ NPI 1790610681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 9825
300 CHURCH ST, Wallingford, CT 06492
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILVIA SANDOVAL, LCSW
Social Worker (Clinical)
300 CHURCH ST, STE.202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
SANDRA GONSALVES LCSW
Social Worker (Clinical)
300 CHURCH ST, SUITE 202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
DAVID G GLAZER D.M.D.
Dentist (General Practice)
300 CHURCH ST
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 269-5557
REGENERISE HEALTH LLC
Clinic/Center
300 CHURCH ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (860) 994-7339
MICHELLE ESPOSITO M.ED., LPC
Counselor (Professional)
300 CHURCH ST
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 265-7770
JENNA MARIE NADEAU CAMEROTA LCSW
Psychologist (Group Psychotherapy)
300 CHURCH ST
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 980-2079
SOUL FRIENDS, INC
Community/Behavioral Health
300 CHURCH ST, SUITE 105
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-0849
EVAN D MCCLURE MS, LPC
Counselor (Professional)
300 CHURCH ST, SUITE 202
YALESVILLE, CT 06492
South Central Connecticut Planning Region (203) 592-7227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Simbolon's NPI number?

The NPI number for Theresa Simbolon is 1790610681. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Theresa Simbolon located?

Theresa Simbolon practices at 300 Church St, Wallingford, CT 06492. The listed phone number is (203) 314-0940.

What is Theresa Simbolon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Theresa Simbolon was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.