1. Home
  2. Directory
  3. Connecticut
  4. Branford
  5. Counselor
  6. NPI Profile

RENEE L BACON LPC
NPI 1114577012
Counselor - Professional in Branford, CT

Active since September 13, 2019
150 W MAIN ST, BRANFORD, CT 06405(203) 318-4220 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2024, Oct 11, 2022, Apr 28, 2022 and 2 more (5 updates tracked since 2019).

About Renee L Bacon Lpc NPPES

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

RENEE L BACON LPC (NPI 1114577012) is an individual professional provider in Branford, Connecticut, licensed in Connecticut (3470) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1114577012
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRENEE L BACONCredential: LPC
Location Address150 W MAIN STBranford, CT 06405-4031
Mailing Address150 W Main StBranford, CT 06405-4031 · (203) 318-4220
Phone(203) 318-4220
Sole ProprietorYes
Enumeration DateSeptember 13, 2019
Last NPPES UpdateNovember 22, 20245 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1114577012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 3470
150 W MAIN ST, Branford, CT 06405
Open in Google Maps ↗

Other Identifiers 1

Medicaid008090423CT

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 Renee Bacon's NPI number?

The NPI number for Renee Bacon is 1114577012. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Renee Bacon located?

Renee Bacon practices at 150 W Main St, Branford, CT 06405. The listed phone number is (203) 318-4220.

What is Renee Bacon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Renee Bacon was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.