CONNIE D ZOLLNER PSYD
NPI 1275123093
Psychologist in Bellevue, WA

Active since January 25, 2021Opted out of Medicare · through Jan 1, 2028
2370 130TH AVE NE STE 104, BELLEVUE, WA 98005(425) 628-2820 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connie D Zollner Psyd NPPES

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

CONNIE D ZOLLNER PSYD (NPI 1275123093) is an individual psychologist in Bellevue, Washington and active in the NPI registry since January 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1275123093
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCONNIE D ZOLLNERCredential: PSYD
Location Address2370 130TH AVE NE STE 104Bellevue, WA 98005-1770
Mailing Address2370 130th Ave Ne Ste 104Bellevue, WA 98005-1770 · (425) 628-2820
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
NPI 1275123093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2370 130TH AVE NE STE 104, Bellevue, WA 98005

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Connie D Zollner Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

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

Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Counselor (Mental Health)
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005
Psychologist
2370 130TH AVE NE STE 104
BELLEVUE, WA 98005

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 Connie Zollner's NPI number?

The NPI number for Connie Zollner is 1275123093. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Connie Zollner located?

Connie Zollner practices at 2370 130th Ave NE Ste 104, Bellevue, WA 98005. The listed phone number is (425) 628-2820.

What is Connie Zollner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Connie Zollner enrolled in Medicare?

No. Connie Zollner has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Connie Zollner was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.