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BRIAN ADAM BONILLA LADC, LPC
NPI 1679112569
Counselor - Professional in New Haven, CT

Active since December 26, 2019PECOS Enrolled
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Jan 26, 2022, Jan 10, 2020 and 1 more (4 updates tracked since 2019).

About Brian Adam Bonilla Ladc, Lpc NPPES

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

BRIAN ADAM BONILLA LADC, LPC (NPI 1679112569) is an individual professional provider in New Haven, Connecticut, licensed in Connecticut (5365) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1679112569
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRIAN ADAM BONILLACredential: LADC, LPC
Location Address1 LONG WHARF DR STE 321New Haven, CT 06511-5946
Mailing Address1 Long Wharf Dr Ste 321New Haven, CT 06511-5946 · (203) 781-4600 · Fax (203) 781-4624
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Enumeration DateDecember 26, 2019
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1679112569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 5365
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1359 (CT)
1 LONG WHARF DR STE 321, New Haven, CT 06511
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Secondary Practice Location 1

Location 133 Burr StNew Haven, CT 06512-3201 · Phone (475) 434-6050

Other Identifiers 3

Medicaid008092656CT
Medicaid004041000CT
Medicaid008003745CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Adam Bonilla Ladc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Brian Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apt Foundation, Inc
1.5 mi
Clinic/Center
1 LONG WHARF DR
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
NPI 1801950951 (203) 781-4640

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.

ISAIAH DARNELL DOCKETT
Counselor (Addiction (Substance Use Disorder))
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
HANNAH KRISTAN LCSW
Social Worker (Clinical)
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
BIANCA MCCLAIN LADC
Counselor (Addiction (Substance Use Disorder))
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
LORIANNE MEUS APRN
Nurse Practitioner (Family)
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
MR. SEAN THOMAS MORRISSEY M.S.
Counselor (Mental Health)
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
KIMBERLY L SUE MD, PHD
Internal Medicine
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
JOHNNA ARCUCCI LPN
Licensed Practical Nurse
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
CHRISTINE WILSON LPC
Counselor (Professional)
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600

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 Brian Bonilla's NPI number?

The NPI number for Brian Bonilla is 1679112569. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Where is Brian Bonilla located?

Brian Bonilla practices at 1 Long Wharf Dr Ste 321, New Haven, CT 06511. The listed phone number is (203) 781-4600.

What is Brian Bonilla's specialty?

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

Is Brian Bonilla enrolled in Medicare?

Yes. Brian Bonilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Bonilla reassigns Medicare benefits to Apt Foundation, Inc (New Haven, 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 Brian Bonilla'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 Brian Bonilla was last updated on March 16, 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.