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NICOLE VENTURA ROACH MA, LPC, RDT
NPI 1942049887
Counselor - Mental Health in New Haven, CT

Active since May 21, 2024
85 WILLOW ST STE 7, NEW HAVEN, CT 06511(203) 871-1876 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Ventura Roach Ma, Lpc, Rdt NPPES

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

NICOLE VENTURA ROACH MA, LPC, RDT (NPI 1942049887) is an individual mental health provider in New Haven, Connecticut, licensed in Connecticut (6384) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1942049887
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE VENTURA ROACHCredential: MA, LPC, RDT
Location Address85 WILLOW ST STE 7New Haven, CT 06511-2696
Mailing Address1 Birch DrWallingford, CT 06492-5210 · (201) 669-0057
Phone(203) 871-1876
Sole ProprietorNo
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1942049887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 6384
Also ListedDrama TherapistTaxonomy 101200000X · License 834
85 WILLOW ST STE 7, New Haven, CT 06511
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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 Nicole Ventura Roach's NPI number?

The NPI number for Nicole Ventura Roach is 1942049887. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Nicole Ventura Roach located?

Nicole Ventura Roach practices at 85 Willow St Ste 7, New Haven, CT 06511. The listed phone number is (203) 871-1876.

What is Nicole Ventura Roach'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 Nicole Ventura Roach was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.