KATHLEEN BRADLEY LPC
NPI 1629735402
Counselor - Professional in Griswold, CT
About Kathleen Bradley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BRADLEY LPC (NPI 1629735402) is an individual professional provider in Griswold, Connecticut, licensed in Connecticut (7284) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kathleen Bradley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Bradley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 166 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 10 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Bradley's NPI number?
The NPI number for Kathleen Bradley is 1629735402. It was assigned to this individual provider in the NPPES registry on November 29, 2021.
Where is Kathleen Bradley located?
Kathleen Bradley practices at 226 E Main St, Griswold, CT 06351. The listed phone number is (860) 376-7040.
What is Kathleen Bradley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Bradley enrolled in Medicare?
Yes. Kathleen Bradley 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 Kathleen Bradley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Bradley reassigns Medicare benefits to 2 organizations: United Community And Family Services, Inc. (Norwich, CT) and Regeneration Therapy And Counseling LLC (Danielson, 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 Kathleen Bradley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Bradley was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kathleen Bradley, LPC · NPI 1629735402
Professional provider in Griswold, Connecticut. Individual provider, active in the CMS NPPES registry since November 29, 2021.
## Identity
- **NPI:** 1629735402 (Entity type: Individual)
- **Enumerated:** November 29, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7284 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 226 E MAIN ST, Griswold, CT 06351-2110
- **Phone:** (860) 376-7040 · **Fax:** (860) 376-7045
## 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): United Community And Family Services, Inc. (NPI 1467482539, Norwich, CT); Regeneration Therapy And Counseling LLC (NPI 1033574355, Danielson, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629735402) · Data from the CMS NPPES public registry.