JILL T CONNOLLY LCPC
NPI 1962982959
Counselor - Professional in Bel Air, MD

Active since August 19, 2018Opted out of Medicare · through Aug 22, 2026
260 GATEWAY DR, BEL AIR, MD 21014(443) 567-7037 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2026, Aug 19, 2018 (2 updates tracked since 2018).

About Jill T Connolly Lcpc NPPES

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

JILL T CONNOLLY LCPC (NPI 1962982959) is an individual professional provider in Bel Air, Maryland, licensed in Maryland (LC10416) and active in the NPI registry since August 2018. She has opted out of Medicare through August 22, 2026.

NPPES Registry Identity

NPI1962982959
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL T CONNOLLYCredential: LCPC
Location Address260 GATEWAY DRBel Air, MD 21014-4268
Mailing Address2427 Munford DrFallston, MD 21047-2218 · (443) 243-2304
Sole ProprietorYes
Enumeration DateAugust 19, 2018
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1962982959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC10416
260 GATEWAY DR, Bel Air, MD 21014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jill T Connolly Lcpc 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 August 22, 2024 through August 22, 2026.

Opt-Out Effective DateAugust 22, 2024
Opt-Out In Effect ThroughAugust 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

Music Therapist
260 GATEWAY DR, SUITE 7-8A
BEL AIR, MD 21014
Music Therapist
260 GATEWAY DR
BEL AIR, MD 21014
Counselor (Addiction (Substance Use Disorder))
260 GATEWAY DR, SUITE 18A
BEL AIR, MD 21014
Music Therapist
260 GATEWAY DR
BEL AIR, MD 21014
Music Therapist
260 GATEWAY DR, SUITE 7-8A
BEL AIR, MD 21014
Counselor (Addiction (Substance Use Disorder))
260 GATEWAY DR, SUITE 18A
BEL AIR, MD 21014
Massage Therapist
260 GATEWAY DR, SUITE 5A
BEL AIR, MD 21014
Social Worker (Clinical)
260 GATEWAY DR, SUITE 2B
BEL AIR, MD 21014

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 Jill Connolly's NPI number?

The NPI number for Jill Connolly is 1962982959. It was assigned to this individual provider in the NPPES registry on August 19, 2018.

Where is Jill Connolly located?

Jill Connolly practices at 260 Gateway Dr, Bel Air, MD 21014. The listed phone number is (443) 567-7037.

What is Jill Connolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jill Connolly enrolled in Medicare?

No. Jill Connolly has opted out of Medicare through August 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jill Connolly was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.