Kathleen Connelly, LAC is a medicare enrolled "Counselor - Professional" provider in Evesham, New Jersey. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
105 Evesboro Medford Rd, Evesham, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 948-4995.
Kathleen Connelly is licensed to practice in New Jersey (license number 37PC01136900) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1073251609.
Healthcare Provider's Profile
| Full Name | Kathleen Connelly |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 105 Evesboro Medford Rd, Evesham, New Jersey |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen Connelly graduated from medical school in 2021
NPI Data:
- NPI Number: 1073251609
- Provider Enumeration Date: 05/24/2022
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002307287
- Enrollment ID: I20251115000039
Medical Identifiers
Medical identifiers for Kathleen Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073251609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 37PC01136900 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Connelly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Connelly, LAC
216 Franklin St,
Clayton, NJ 08312-1738
Ph: (856) 885-0955 | Kathleen Connelly, LAC
105 Evesboro Medford Rd,
Evesham, NJ 08053-3865
Ph: (609) 948-4995 |
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