TYLER CONNOLLY LCPC
NPI 1154951564
Counselor - Professional in Portland, ME
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Connolly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, ME 04101
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, Maine enrollment
- 12 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04101
PORTLAND, ME 04101
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.
Which organizations bill Medicare for Tyler Connolly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Connolly reassigns Medicare benefits to 2 organizations: Mainehealth (Portland, ME) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Tyler Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Connolly accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Harvard Pilgrim Health Care 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 4 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.
# Tyler Connolly, LCPC · NPI 1154951564
Professional provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since January 24, 2020.
## Identity
- **NPI:** 1154951564 (Entity type: Individual)
- **Enumerated:** January 24, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC6615 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 165 LANCASTER ST, Portland, ME 04101-2406
- **Phone:** (260) 318-4422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1265912067, Portland, ME); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1154951564) · Data from the CMS NPPES public registry.