KIMBERLY BRONSON (MA) – Mental Health Counselor, NPI 1790132488

KIMBERLY BRONSON (MA) is a healthcare provider. based in Hartford, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. The NPI Number for KIMBERLY BRONSON (MA) is 1790132488

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY BRONSON (MA)
NPI
1790132488
Phone
(860) 527-1124
Address
45 WADSWORTH ST
Enumeration Date
23 May 2016
Last Update Date
10 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605271124
Graduation Year
2017 (9 years ago)
PAC ID
3476996505
Group Practice PAC ID
2567367469
Professional Enrollment ID
I20240206002386
Address ID
CT061067108HA45XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

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Provider Addresses for KIMBERLY BRONSON (MA)

  • 45, Wadsworth Street, Elm Street Historic District, Hartford, Hartford County, Connecticut, 06106, United States

    HARTFORD, CT 061067108

    Phone: (860) 527-1124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240206002386IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06106)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567367469View full group profile

Reviews

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Frequently asked questions

Is KIMBERLY BRONSON (MA) listed with a National Provider Identifier?
Yes — KIMBERLY BRONSON (MA) has NPI 1790132488 on file in the registry.
Is KIMBERLY BRONSON (MA) shown as active in public data?
Registry records indicate KIMBERLY BRONSON (MA) maintains an active NPI.
What expertise is attributed to KIMBERLY BRONSON (MA)?
KIMBERLY BRONSON (MA)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KIMBERLY BRONSON (MA) associated with Hartford?
Public fields place KIMBERLY BRONSON (MA) around Hartford, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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45, Wadsworth Street, Elm Street Historic District, Hartford, Hartford County, Connecticut, 06106, United States
NPI: 1720176977