KATHLEEN CONNELLY LAC
NPI 1073251609
Counselor - Professional in Evesham, NJ
About Kathleen Connelly Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN CONNELLY LAC (NPI 1073251609) is an individual professional provider in Evesham, New Jersey, licensed in New Jersey (37PC01136900) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Connelly Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 219 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARLTON, NJ 08053
MARLTON, NJ 08053
MARLTON, NJ 08053
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Connelly's NPI number?
The NPI number for Kathleen Connelly is 1073251609. It was assigned to this individual provider in the NPPES registry on May 24, 2022.
Where is Kathleen Connelly located?
Kathleen Connelly practices at 105 Evesboro Medford Rd, Evesham, NJ 08053. The listed phone number is (609) 948-4995.
What is Kathleen Connelly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Connelly enrolled in Medicare?
Yes. Kathleen Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Connelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Connelly reassigns Medicare benefits to Center For Family Guidance, PC (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Connelly accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kathleen Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Connelly was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Connelly, LAC · NPI 1073251609
Professional provider in Evesham, New Jersey. Individual provider, active in the CMS NPPES registry since May 24, 2022.
## Identity
- **NPI:** 1073251609 (Entity type: Individual)
- **Enumerated:** May 24, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC01136900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 EVESBORO MEDFORD RD, Evesham, NJ 08053-3865
- **Phone:** (609) 948-4995
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Center For Family Guidance, PC (NPI 1508803388, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073251609) · Data from the CMS NPPES public registry.