Individual provider Active NPI

Lauren Connelly, PMHNP-BC

  • Psychiatry Physician
  • Henrico, VA
National Provider Identifier
1063020170
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0024179439 Issued in VA
Practice address
10431 Patterson Ave
Henrico, VA 23238-5101
Phone
(804) 532-5147
Fax
(804) 369-8818
NPI assigned
Jul 15, 2020
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0024179439 VA Primary

Addresses

Primary practice location

10431 Patterson Ave
Henrico, VA 23238-5101

Mailing address

10431 Patterson Ave
Henrico, VA 23238-5101
Phone (804) 532-5147

Other practice location 1

1900 Byrd Ave
Richmond, VA 23230-3033
Phone (592) 631-1804

Other identifiers 2

IdentifierTypeStateIssuer
2020007827OtherAMERICAN NURSES CREDENTIALING CENTER
0024179439OtherVANURSE PRACTITIONER LICENSE NUMBER

Other names 1

  • Lauren Dorsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179439VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tortoise Mental Health, PLLC Current Accepting new patients

Locations

10431 Patterson Ave
Richmond, VA 23238
Phone (804) 277-9011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1063020170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-532-5147",
            "fax_number": "804-369-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-532-5147",
            "fax_number": "804-369-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Byrd Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303033",
            "country_code": "US",
            "telephone_number": "592-631-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "LAUREN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0024179439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2020007827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "0024179439",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DORSEY",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.