ALLISON CONNELLY
NPI 1942658133
Marriage & Family Therapist in San Jose, CA

Q: What is Allison Connelly's NPI number?

The NPI number for Allison Connelly is 1942658133. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Allison Connelly's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Allison Connelly enrolled in Medicare?

No. Allison Connelly 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.

Q: When was this NPI record last updated?

The NPPES record for Allison Connelly was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 27, 2016Opted out of Medicare · through Jan 1, 2028

3880 S BASCOM AVE STE 202, SAN JOSE, CA 95124(408) 271-5917 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Allison Connelly NPPES

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

ALLISON CONNELLY (NPI 1942658133) is an individual marriage & family therapist in San Jose, California, licensed in California (MFC37663) and active in the NPI registry since May 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1942658133

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameALLISON CONNELLY

Location Address3880 S BASCOM AVE STE 202San Jose, CA 95124-2675

Mailing Address3880 S Bascom Ave Ste 202San Jose, CA 95124-2675 · (408) 271-5917

Phone(408) 271-5917

Sole ProprietorYes

Enumeration DateMay 27, 2016

✔ NPI 1942658133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC37663

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3880 S BASCOM AVE STE 202, San Jose, CA 95124

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Allison Connelly 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.

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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.

CHRISTINE LEE

Counselor (Mental Health)