Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Tetreault, LPC, LADC

Individual provider Professional Counselor · NPI 1275172629

Kaitlyn Tetreault, LPC, LADC is a Mental Health Counselor in Manchester, Connecticut. Qualified in 2016, 10 years ago. Practices with Hartford Dispensary, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

335 Broad St
Manchester, CT 06040-4036
Phone: (860) 643-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1275172629
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LADC
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hartford Dispensary — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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