Jennifer Nevadomski, LPC
NPI 1558012617 · Professional Counselor · Middlebury, CT
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Nevadomski, LPC is a Professional Counselor provider in Middlebury, CT (NPI 1558012617).
Provider details
- NPI number
- 1558012617
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5350 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 67 Shane DrSouthbury, CT 06488-2678Phone: (516) 204-2310
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Jennifer Nevadomski's NPI number?
- Jennifer Nevadomski's National Provider Identifier (NPI) is 1558012617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Nevadomski's specialty?
- Jennifer Nevadomski is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jennifer Nevadomski located?
- Jennifer Nevadomski's practice location on file with NPPES is 687 Straits Tpke Ste 1c, Middlebury, CT 06762-2846.
- What is Jennifer Nevadomski's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Nevadomski is (203) 408-2420.
- Does Jennifer Nevadomski accept Medicare?
- Jennifer Nevadomski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Nevadomski's NPI active?
- Yes — Jennifer Nevadomski's NPI (1558012617) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.