Brian Bonilla, LADC, LPC
NPI 1679112569 · Professional Counselor · New Haven, CT
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Bonilla, LADC, LPC is a Professional Counselor provider in New Haven, CT (NPI 1679112569).
Provider details
- NPI number
- 1679112569
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 1359 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 33 Burr StNew Haven, CT 06512-3201Phone: (475) 434-6050
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Brian Bonilla's NPI number?
- Brian Bonilla's National Provider Identifier (NPI) is 1679112569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Bonilla's specialty?
- Brian Bonilla is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Brian Bonilla located?
- Brian Bonilla's practice location on file with NPPES is 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946.
- What is Brian Bonilla's phone number?
- The practice phone number listed in the NPPES registry for Brian Bonilla is (203) 781-4600.
- Does Brian Bonilla accept Medicare?
- Brian Bonilla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Bonilla's NPI active?
- Yes — Brian Bonilla's NPI (1679112569) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.