DR. KATHLEEN MARIE CONNOLLY PH.D.
NPI 1578899209
Counselor - Professional in Charlotte, NC
About Dr. Kathleen Marie Connolly Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MARIE CONNOLLY PH.D. (NPI 1578899209) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (3919) and active in the NPI registry since October 2009. She has opted out of Medicare through September 13, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kathleen Marie Connolly Ph.d. 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 September 13, 2024 through September 13, 2026.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Connolly's NPI number?
The NPI number for Kathleen Connolly is 1578899209. It was assigned to this individual provider in the NPPES registry on October 31, 2009.
Where is Kathleen Connolly located?
Kathleen Connolly practices at 218 E Tremont Ave B, Charlotte, NC 28203. The listed phone number is (704) 331-0160.
What is Kathleen Connolly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Connolly enrolled in Medicare?
No. Kathleen Connolly has opted out of Medicare through September 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Kathleen Connolly accept?
Health plans from Blue Cross and Blue Shield of NC list Kathleen 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 Kathleen Connolly was last updated on October 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Kathleen Marie Connolly, PH.D. · NPI 1578899209
Professional provider in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since October 31, 2009.
## Identity
- **NPI:** 1578899209 (Entity type: Individual)
- **Enumerated:** October 31, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3919 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 218 E TREMONT AVE, B, Charlotte, NC 28203-5059
- **Phone:** (704) 331-0160 · **Fax:** (704) 331-0161
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 13, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 31, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1578899209) · Data from the CMS NPPES public registry.