Individual provider Active NPI

Alan Wilfred Bonin, LMHC, LADC, LPC

  • Mental Health Counselor
  • Waterford, CT
National Provider Identifier
1962893305
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00954 Issued in RI
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

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124002485 CT Practitioner - Mental Health Counselor 1850744095 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1156CTMDAddiction (Substance Use Disorder) Counselor
CDP00609RIMDAddiction (Substance Use Disorder) Counselor
MHC00954RIMDMental Health Counselor
14120MAMDPharmacist
5178CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kab Counseling Services PLLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.