Active NPIIndividual providerSole proprietor

Richard T Connelly, LCPC

Counselor, Professional in Kittery, Maine

NPI Number1619228103
Practice location
518 US Route 1 Unit 5, Kittery, ME 03904-2500
Fax
207-451-9791
Last updated
November 2, 2018

Richard T. Connelly is a Counselor, Professional based in Kittery, ME. Richard T. Connelly practices in Kittery, ME and has the professional credentials of LCPC. The NPI Number for Richard T. Connelly is 1619228103 and holds a License No. CC4388 (ME). The current practice location address for Richard T. Connelly is 518 US Route 1 Unit 5, Kittery, ME 03904-2500 and can be reached out via phone at 207-641-5345 and via fax at 207-451-9791.

Provider Profile Details

NPI Number
1619228103
Provider Name
Richard T. Connelly
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
518 US Route 1 Unit 5, Kittery, ME 03904-2500
Phone Number
207-641-5345
Fax Number
207-451-9791
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2012
Last Update Date
November 2, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
518 US Route 1 Unit 5
Kittery, ME 03904-2500
State
Maine
Zip
03904-2500
Phone Number
207-641-5345
Fax Number
207-451-9791
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 257
Wells, ME 04090
City
Wells
State
ME
Zip
04090
Phone Number
207-641-5345
Fax Number
207-451-9791

License Information

License Number
CC4388
License State
ME
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Professional providers near Kittery, ME

View all Counselor, Professional providers in Kittery →

Frequently Asked Questions

What is the NPI number of Richard T Connelly, LCPC?

The NPI number of Richard T Connelly, LCPC is 1619228103. It was assigned on September 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Richard T Connelly, LCPC?

Richard T Connelly, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC4388.

Where does Richard T Connelly, LCPC practice?

The practice location is 518 US Route 1 Unit 5, Kittery, ME 03904-2500. The office can be reached at 207-641-5345 (phone) or 207-451-9791 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619228103 directly on the NPPES registry website.

Browse related providers