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MATTHEW MARK CONNOLLY
NPI 1548868169
Peer Specialist in Lake Elsinore, CA

Active since October 15, 2020
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530(951) 471-4300(951) 674-6431 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Matthew Mark Connolly NPPES

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

MATTHEW MARK CONNOLLY (NPI 1548868169) is an individual peer specialist in Lake Elsinore, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1548868169
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMATTHEW MARK CONNOLLY
Location Address31946 MISSION TRL STE BLake Elsinore, CA 92530-4539
Mailing Address31946 Mission Trl Ste BLake Elsinore, CA 92530-4539 · (951) 471-4300 · Fax (951) 674-6431
Phone(951) 471-4300
Fax(951) 674-6431
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1548868169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
31946 MISSION TRL STE B, Lake Elsinore, CA 92530
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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.

CARMINA HERNANDEZ
Case Manager/Care Coordinator
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7663
SHAVAR ROSS
Case Manager/Care Coordinator
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4300
RESHAY MICHEL PRITCHARD
Peer Specialist
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7663
MR. JAIME MORA
Counselor (Mental Health)
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7663
SANDRA HERNANDEZ BALLESTEROS
Marriage & Family Therapist
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4300
CASSANDRA LEIVAS
Case Manager/Care Coordinator
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7663
MIGUEL ANGEL MORENO LOPEZ MSW, LCSW, NCICS
Social Worker (Clinical)
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4300
ABDULA ALHAWASH
Peer Specialist
31946 MISSION TRL STE B
LAKE ELSINORE, CA 92530
Riverside County (951) 245-7663

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 Matthew Connolly's NPI number?

The NPI number for Matthew Connolly is 1548868169. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Matthew Connolly located?

Matthew Connolly practices at 31946 Mission Trl Ste B, Lake Elsinore, CA 92530. The listed phone number is (951) 471-4300.

What is Matthew Connolly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Matthew Connolly was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.