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TYLER CONNOLLY LCPC
NPI 1154951564
Counselor - Professional in Portland, ME

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
165 LANCASTER ST, PORTLAND, ME 04101(260) 318-4422 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2022, Aug 10, 2022, Jul 5, 2022 and 2 more (5 updates tracked since 2020).

About Tyler Connolly Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER CONNOLLY LCPC (NPI 1154951564) is an individual professional provider in Portland, Maine, licensed in Maine (CC6615) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154951564
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER CONNOLLYCredential: LCPC
Location Address165 LANCASTER STPortland, ME 04101-2406
Mailing Address165 Lancaster StPortland, ME 04101-2406
Phone(260) 318-4422
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 24, 2020
Last NPPES UpdateAugust 16, 20225 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1154951564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC6615
165 LANCASTER ST, Portland, ME 04101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Connolly Lcpc 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.

PECOS PAC ID42662009
PECOS Enrollment IDI20240116002117
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT W. HUTCHERSON LCPC
Counselor (Professional)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
JENNA NUNZIATO LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MACKENZIE MULLEN ROSS NP
Nurse Practitioner (Psychiatric/Mental Health)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
GLENN ANDREW MAYER LCPC, CCS
Counselor (Professional)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 661-6415
TERRY MORRELL LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
ROBERT TOSCANO D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MEREDITH FREIMER ANDERSON LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030
MS. HEATHER A. TRICKETT LCSW
Social Worker (Clinical)
165 LANCASTER ST
PORTLAND, ME 04101
Cumberland County (207) 874-1030

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 Tyler Connolly's NPI number?

The NPI number for Tyler Connolly is 1154951564. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Tyler Connolly located?

Tyler Connolly practices at 165 Lancaster St, Portland, ME 04101. The listed phone number is (260) 318-4422.

What is Tyler Connolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyler Connolly enrolled in Medicare?

Yes. Tyler Connolly 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.

What insurance does Tyler Connolly accept?

Health plans from CareSource, Harvard Pilgrim Health Care and Providence Health Plan list Tyler Connolly 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 Tyler Connolly was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.