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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAE AUTUMN CONNELLY CDCA
NPI 1629606488
Counselor - Addiction (Substance Use Disorder) in Newark, OH

Active since March 29, 2020
104 E MAIN ST, NEWARK, OH 43055(740) 534-2939 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Apr 21, 2026, Mar 29, 2020 (3 updates tracked since 2020).

About Rae Autumn Connelly Cdca NPPES

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

RAE AUTUMN CONNELLY CDCA (NPI 1629606488) is an individual addiction (substance use disorder) provider in Newark, Ohio, licensed in Ohio (CDCA.193938) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1629606488
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRAE AUTUMN CONNELLYCredential: CDCA
Location Address104 E MAIN STNewark, OH 43055-5651
Mailing Address2727 S 3rd StIronton, OH 45638-2760 · (740) 534-2100
Phone(740) 534-2939
Sole ProprietorNo
Enumeration DateMarch 29, 2020
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1629606488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.193938
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
104 E MAIN ST, Newark, OH 43055
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Other Names 1

Former Name (1)Turqoise Autumn Connelly

Other Providers at the Same Location NPPES 4

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

LEAH MARIE COMPTON
Counselor (Addiction (Substance Use Disorder))
104 E MAIN ST
NEWARK, OH 43055
Licking County (740) 534-2939
WHITNEY ROCHELLE THOMPSON LSW
Social Worker
104 E MAIN ST
NEWARK, OH 43055
Licking County (940) 534-2939
CHARLES RIEGER
Counselor (Addiction (Substance Use Disorder))
104 E MAIN ST
NEWARK, OH 43055
Licking County (740) 534-2939
HEATHER MCMULLEN
Counselor (Addiction (Substance Use Disorder))
104 E MAIN ST
NEWARK, OH 43055
Licking County (740) 534-2939

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 Rae Connelly's NPI number?

The NPI number for Rae Connelly is 1629606488. It was assigned to this individual provider in the NPPES registry on March 29, 2020. The provider is also known as Turqoise Autumn Connelly.

Where is Rae Connelly located?

Rae Connelly practices at 104 E Main St, Newark, OH 43055. The listed phone number is (740) 534-2939.

What is Rae Connelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Rae Connelly was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.