KAITLYN TETREAULT LPC, LADC
NPI 1275172629
Counselor - Addiction (Substance Use Disorder) in Manchester, CT
About Kaitlyn Tetreault Lpc, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN TETREAULT LPC, LADC (NPI 1275172629) is an individual addiction (substance use disorder) provider in Manchester, Connecticut and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlyn Tetreault Lpc, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kaitlyn Tetreault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06120
- Reassigned Medicare billing, Connecticut enrollment
- 50 clinicians in this Medicare group
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANCHESTER, CT 06040
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 Kaitlyn Tetreault's NPI number?
The NPI number for Kaitlyn Tetreault is 1275172629. It was assigned to this individual provider in the NPPES registry on January 2, 2020.
Where is Kaitlyn Tetreault located?
Kaitlyn Tetreault practices at 335 Broad St, Manchester, CT 06040. The listed phone number is (860) 643-3210.
What is Kaitlyn Tetreault's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Kaitlyn Tetreault enrolled in Medicare?
Yes. Kaitlyn Tetreault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kaitlyn Tetreault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Tetreault reassigns Medicare benefits to 2 organizations: Hartford Dispensary (Hartford, CT) and Compassion Coherence LLP (Wallingford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Tetreault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlyn Tetreault accept?
Health plans from Anthem Blue Cross and Blue Shield list Kaitlyn Tetreault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kaitlyn Tetreault was last updated on June 10, 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.
# Kaitlyn Tetreault, LPC, LADC · NPI 1275172629
Addiction (Substance Use Disorder) provider in Manchester, Connecticut. Individual provider, active in the CMS NPPES registry since January 2, 2020.
## Identity
- **NPI:** 1275172629 (Entity type: Individual)
- **Enumerated:** January 2, 2020
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 335 BROAD ST, Manchester, CT 06040-4036
- **Phone:** (860) 643-3210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Dispensary (NPI 1922121797, Hartford, CT); Compassion Coherence LLP (NPI 1073354429, Wallingford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275172629) · Data from the CMS NPPES public registry.