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KAITLYN E BRUNEAU LPC
NPI 1447033717
Counselor - Mental Health in West Haven, CT

Active since August 18, 2023PECOS EnrolledAccepts Medicare Assignment
415 MAIN ST, WEST HAVEN, CT 06516(203) 931-1184(475) 234-0805 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kaitlyn E Bruneau Lpc NPPES

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

KAITLYN E BRUNEAU LPC (NPI 1447033717) is an individual mental health provider in West Haven, Connecticut, licensed in Connecticut (6678) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447033717
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN E BRUNEAUCredential: LPC
Location Address415 MAIN STWest Haven, CT 06516-4296
Mailing Address18 Hubert StWest Haven, CT 06516-7035 · (203) 815-8552
Phone(203) 931-1184
Fax(475) 234-0805
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1447033717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CT · 6678
415 MAIN ST, West Haven, CT 06516
Open in Google Maps ↗

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 and accepts Medicare assignment

Kaitlyn E Bruneau Lpc 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.

PECOS PAC ID9830535590
PECOS Enrollment IDI20240315003099
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 Reassignments

2

Medicare enrollment records show Kaitlyn Bruneau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shoreline Wellness Behavioral Health Outreach Inc
Same address
Community/Behavioral Health
415 MAIN STREET
West Haven, CT 06516
  • Reassigned Medicare billing, Connecticut enrollment
  • 25 clinicians in this Medicare group
NPI 1144723305 (203) 931-1184
Shoreline Wellness Center, LLC.
Same address
Mental Health
415 MAIN ST
West Haven, CT 06516
  • Reassigned Medicare billing, Connecticut enrollment
  • 25 clinicians in this Medicare group
NPI 1609177815 (203) 931-1194

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA GALLAGHER JARRY LMFT
Marriage & Family Therapist
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
SARAH NICOLE MORAN LCSW
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
DR. CHRISTOPHER M INCLIMA O.D.
Optometrist
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 934-5126
JOHN DAVID LIEBERMAN LPC
Counselor (Professional)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
TARIN EVANS
Counselor (Mental Health)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
ALEXANDRA IANNOTTI
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
LISA MICHELLE SPEARMAN LCSW
Social Worker (Clinical)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184
MARY SCHULTZ FORMAN APRN
Clinical Nurse Specialist (Psychiatric/Mental Health)
415 MAIN ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 931-1184

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 Bruneau's NPI number?

The NPI number for Kaitlyn Bruneau is 1447033717. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Kaitlyn Bruneau located?

Kaitlyn Bruneau practices at 415 Main St, West Haven, CT 06516. The listed phone number is (203) 931-1184.

What is Kaitlyn Bruneau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaitlyn Bruneau enrolled in Medicare?

Yes. Kaitlyn Bruneau 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 Bruneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Bruneau reassigns Medicare benefits to 2 organizations: Shoreline Wellness Behavioral Health Outreach Inc (West Haven, CT) and Shoreline Wellness Center, LLC. (West Haven, 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 Bruneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Bruneau accept?

Health plans from Anthem Blue Cross and Blue Shield list Kaitlyn Bruneau 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 Bruneau was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.