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KATHLEEN BRADLEY LPC
NPI 1629735402
Counselor - Professional in Griswold, CT

Active since November 29, 2021PECOS EnrolledAccepts Medicare Assignment
226 E MAIN ST, GRISWOLD, CT 06351(860) 376-7040(860) 376-7045 Get Directions Write a Review

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

Record update history: Jul 17, 2024, Jul 8, 2024, Nov 29, 2021 (3 updates tracked since 2021).

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

NPI1629735402
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN BRADLEYCredential: LPC
Location Address226 E MAIN STGriswold, CT 06351-2110
Mailing Address226 E Main StGriswold, CT 06351-2110 · (860) 376-7040
Phone(860) 376-7040
Fax(860) 376-7045
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 29, 2021
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1629735402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CT · 7284✔ Licensed in CT · 5284
226 E MAIN ST, Griswold, CT 06351
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Secondary Practice Location 1

Location 110 Higgins HwyMansfield Center, CT 06250-1437 · Phone (888) 316-5221 · Fax (866) 203-2138

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2466997929
PECOS Enrollment IDI20240709004312
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.

Other Providers at the Same Location NPPES 4

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

MARISSA FRATONI BA
Marriage & Family Therapist
226 E MAIN ST
JEWETT CITY, CT 06351
Southeastern Connecticut Planning Region (860) 376-7040
MRS. HANNAH MARGARET DORFF LCSW
Social Worker (Clinical)
226 E MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 822-2818
JAZLYN TANG LCSW
Social Worker (Clinical)
226 E MAIN ST
JEWETT CITY, CT 06351
Southeastern Connecticut Planning Region (860) 376-7040
KELSEY LYN JOSLYN
Counselor (Mental Health)
226 E MAIN ST
GRISWOLD, CT 06351
Southeastern Connecticut Planning Region (860) 822-4742

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.

What insurance does Kathleen Bradley accept?

Health plans from Providence Health Plan list Kathleen Bradley 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 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 21 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.