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SUSAN KUDRAK
NPI 1336790211
Counselor - Professional in Bethel, CT

Active since September 23, 2019PECOS Enrolled
35 JUDD AVE, BETHEL, CT 06801(203) 733-9103(203) 744-0801 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Kudrak NPPES

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

SUSAN KUDRAK (NPI 1336790211) is an individual professional provider in Bethel, Connecticut, licensed in Connecticut (000637) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336790211
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN KUDRAK
Location Address35 JUDD AVEBethel, CT 06801-1538
Mailing Address35 Judd AveBethel, CT 06801-1538 · (203) 733-9103 · Fax (203) 744-0801
Phone(203) 733-9103
Fax(203) 744-0801
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 23, 2019
✔ NPI 1336790211 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 · 000637
35 JUDD AVE, Bethel, CT 06801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Kudrak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002257268
PECOS Enrollment IDI20240518000611
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Kudrak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wct Behavioral Health & Medication Management PLLC
24 mi
Family
211 SCHRAFFTS DR
Waterbury, CT 06705
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
NPI 1285391474 (203) 518-8218

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Susan Kudrak's NPI number?

The NPI number for Susan Kudrak is 1336790211. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Susan Kudrak located?

Susan Kudrak practices at 35 Judd Ave, Bethel, CT 06801. The listed phone number is (203) 733-9103.

What is Susan Kudrak's specialty?

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

Is Susan Kudrak enrolled in Medicare?

Yes. Susan Kudrak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kudrak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kudrak reassigns Medicare benefits to Wct Behavioral Health & Medication Management PLLC (Waterbury, CT). The 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 Susan Kudrak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kudrak accept?

Health plans from Anthem Blue Cross and Blue Shield list Susan Kudrak 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 Susan Kudrak was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.