JENNIFER CONNELLY
NPI 1558778076
Counselor - Mental Health in Summerville, SC

Active since July 16, 2014
1878 NOLA RUN, SUMMERVILLE, SC 29485(561) 862-8243 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Connelly NPPES

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

JENNIFER CONNELLY (NPI 1558778076) is an individual mental health provider in Summerville, South Carolina, licensed in South Carolina (7488) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1558778076
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER CONNELLY
Location Address1878 NOLA RUNSummerville, SC 29485-9280
Mailing Address717 Old Trolley Road, Suite 6, Box 104Summerville, SC 29485 · (561) 862-8243
Sole ProprietorYes
Enumeration DateJuly 16, 2014
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
NPI 1558778076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in SC · 7488 Licensed in FL · MH 11166
1878 NOLA RUN, Summerville, SC 29485

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 Jennifer Connelly's NPI number?

The NPI number for Jennifer Connelly is 1558778076. It was assigned to this individual provider in the NPPES registry on July 16, 2014.

Where is Jennifer Connelly located?

Jennifer Connelly practices at 1878 Nola Run, Summerville, SC 29485. The listed phone number is (561) 862-8243.

What is Jennifer Connelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Connelly was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.