Kathleen Connelly, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC01136900 Issued in NJ

Practice address

105 Evesboro Medford Rd
Evesham, NJ 08053-3865

Phone

(609) 948-4995

NPI assigned

May 24, 2022

Last updated

Oct 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388
  Medicare reassignment Care Compare group NPD
• Inner Compass Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marlton, NJ
  • NPI 1104505262
  NPD (past)
• Meridian Counseling Services

  • Clinical Social Worker
  • Haddon Heights, NJ
  • NPI 1306220942
  NPD (past)
• Michelle Richardson, LCSW LLC

  dba Mindful Soul Center for Wellbeing

  • Clinical Social Worker
  • Haddon Heights, NJ
  • NPI 1538556345
  NPD (past)

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1073251609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FRANKLIN ST",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121738",
            "telephone_number": "856-885-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EVESBORO MEDFORD RD",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080533865",
            "telephone_number": "609-948-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "KATHLEEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01136900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawrence Bocco Jr., PHARM D., RPH
• Bright Beginnings Pediatric Therapy SJ
• Ronita Chambers
• Yadid Chaniz-Rico
• Tamara Clara Christian
• CSH Marlton Lessee, LLC (Arbor Terrace Marlton)
• Kevin Edward Davis, LAC
• Marybeth Deangelis, BSN, RN
• Dental Arts & Wellness LLC
• Danielle Dolores, RPH

• Professional Counselor in Evesham, NJ
• Providers in Evesham, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.