Active NPIIndividual providerSole proprietor

Marjorie R Roccoberton, MARJORIE ROCCOBERTON

Counselor, Mental Health in Bolton, Connecticut

NPI Number1881974855
Practice location
82 Shoddy Mill RD, Bolton, CT 06043-7818
Fax
—
Last updated
April 8, 2014

Marjorie Ruth Roccoberton is a Counselor, Mental Health based in Bolton, CT. Marjorie Ruth Roccoberton practices in Bolton, CT and has the professional credentials of MARJORIE ROCCOBERTON. The NPI Number for Marjorie Ruth Roccoberton is 1881974855 and holds a License No. 2102085697 (CT). The current practice location address for Marjorie Ruth Roccoberton is 82 Shoddy Mill RD, Bolton, CT 06043-7818 and can be reached out via phone at 860-977-0630.

Provider Profile Details

NPI Number
1881974855
Provider Name
Marjorie Ruth Roccoberton
Credential
MARJORIE ROCCOBERTON
Provider Entity Type
Individual
Gender
Female
Address
82 Shoddy Mill RD, Bolton, CT 06043-7818
Phone Number
860-977-0630
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Other Names
-- Marjorie Ruth Roccoberton, LPC (Former Name)
Provider Enumeration Date
August 23, 2011
Last Update Date
April 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
82 Shoddy Mill RD
Bolton, CT 06043-7818
City
Bolton
Zip
06043-7818
Phone Number
860-977-0630
Bolton, CT 06043Get directions →

Provider Business Mailing Address Details

Address
82 Shoddy Mill RD.
Bolton, CT 06043-7818
City
Bolton
State
CT
Zip
06043-7818
Phone Number
860-977-0630

License Information

License Number (1)
2102085697
License State (1)
CT
Taxonomy (1)
Counselor, School · 101YS0200X
License Number (2)
000292
License State (2)
CT
Taxonomy (2)
Marriage & Family Therapist · 106H00000X
License Number (3)
000292
License State (3)
CT
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary
License Number (4)
000292
License State (4)
CT
Taxonomy (4)
Counselor, Professional · 101YP2500X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marjorie R Roccoberton, MARJORIE ROCCOBERTON?

The NPI number of Marjorie R Roccoberton, MARJORIE ROCCOBERTON is 1881974855. It was assigned on August 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Marjorie R Roccoberton, MARJORIE ROCCOBERTON?

Marjorie R Roccoberton, MARJORIE ROCCOBERTON is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 2102085697.

Where does Marjorie R Roccoberton, MARJORIE ROCCOBERTON practice?

The practice location is 82 Shoddy Mill RD, Bolton, CT 06043-7818. The office can be reached at 860-977-0630 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881974855 directly on the NPPES registry website.

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