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MR. MICHAEL CHARLES CONNOLLY LMHC
NPI 1952424616
Counselor - Mental Health in Jacksonville, FL

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
3947 SALISBURY RD, JACKSONVILLE, FL 32216(904) 234-7803(904) 899-8759 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Michael Charles Connolly Lmhc NPPES

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

MR. MICHAEL CHARLES CONNOLLY LMHC (NPI 1952424616) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH4717) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1952424616
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL CHARLES CONNOLLYCredential: LMHC
Location Address3947 SALISBURY RDJacksonville, FL 32216-6115
Mailing Address412 Piper PlJacksonville, FL 32259-4320 · (904) 287-1261
Phone(904) 234-7803
Fax(904) 899-8759
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952424616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH4717
3947 SALISBURY RD, Jacksonville, FL 32216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Charles Connolly Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234632837
PECOS Enrollment IDI20250910003559
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balanced Wellbeing LLC
84 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AMY KAY CUTCHEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
3947 SALISBURY RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3533
MARILYNE R FAUSTIN PMHNP-BC
Psychiatry & Neurology (Psychiatry)
3947 SALISBURY RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3533
DR. MOHAMMED TOUHEED MD
Internal Medicine
3947 SALISBURY RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3533
WEKIVA SPRINGS CENTER LLC
Psychiatric Hospital
3947 SALISBURY RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3533

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 Michael Connolly's NPI number?

The NPI number for Michael Connolly is 1952424616. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Michael Connolly located?

Michael Connolly practices at 3947 Salisbury Rd, Jacksonville, FL 32216. The listed phone number is (904) 234-7803.

What is Michael Connolly's specialty?

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

Is Michael Connolly enrolled in Medicare?

Yes. Michael Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Connolly reassigns Medicare benefits to Balanced Wellbeing LLC (Ocala, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Connolly accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Michael 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 Michael Connolly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.