Active NPI
Alan Wilfred Bonin, LMHC, LADC, LPC
- Mental Health Counselor
- Waterford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00954
- Practice address
- 567 Vauxhall Street Ext Ste 201
Waterford, CT 06385-4332 - Phone
- (401) 206-1531
- NPI assigned
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1156 | CT | |
| Mental Health Counselor | 101YM0800X | MHC00954 | RI | Primary |
| Professional Counselor | 101YP2500X | 5178 | CT | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14120 | MA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00609 | RI |
Addresses
Primary practice location
567 Vauxhall Street Ext Ste 201
Waterford, CT 06385-4332
Mailing address
392 Starkweather Rd
Plainfield, CT 06374-1749
Phone (401) 206-1531
Other practice location 1
70 Cottage St
Danielson, CT 06239-3014
Phone (401) 206-1531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
567 Vauxhall St Ext
Suite 201
Waterford, CT 06385-4332
Phone (860) 886-3507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| CDP00609 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| MHC00954 | RI | MD | Mental Health Counselor |
| 14120 | MA | MD | Pharmacist |
| 5178 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kab Counseling Services PLLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
567 Vauxhall Street Ext
Ste 201
Waterford, CT 06385
Phone (401) 206-1531
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Waterford, CT
- NPI 1043996374
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1962893305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 STARKWEATHER RD",
"city": "PLAINFIELD",
"state": "CT",
"postal_code": "063741749",
"telephone_number": "401-206-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 VAUXHALL STREET EXT STE 201",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063854332",
"telephone_number": "401-206-1531"
}
],
"practiceLocations": [
{
"address_1": "70 Cottage St",
"address_purpose": "LOCATION",
"city": "Danielson",
"state": "CT",
"postal_code": "062393014",
"country_code": "US",
"telephone_number": "401-206-1531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONIN",
"first_name": "ALAN",
"middle_name": "WILFRED",
"credential": "LMHC, LADC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-06",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "1156",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00954",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "5178",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "14120",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "RI",
"license": "CDP00609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.