Mary Connolly, Ma, LPC, NCC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARY CONNOLLY, MA, LPC, NCC, LLC

Doing business as

Mary Connolly Counseling Services

Practice address

76 14TH St
Wheeling, WV 26003-3429

Phone

(715) 212-6993

NPI assigned

Oct 23, 2023

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Connolly, MA, LPC, NCCNPI 1588318372

Title

Owner/Manager

Phone

(715) 212-6993

Specialties & licenses 1

Addresses

Other names 1

• Mary Connolly Counseling Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Connolly, MA, LPC, NCC

  • Professional Counselor
  • Wheeling, WV
  • NPI 1588318372

  Mental Health

  Medicare reassignment NPD Authorized official
• Dee Nazzaro, PH.D

  • Psychologist
  • Wheeling, WV
  • NPI 1497790794
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1104698216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BRADY AVE UNIT C",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521487",
            "telephone_number": "715-212-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 14TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033429",
            "telephone_number": "715-212-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CONNOLLY, MA, LPC, NCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "715-212-6993",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Connolly Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Connolly Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joelle Marie Martaus
• Amy L Martin
• Crystal G Martin
• John Martin
• Anthony Angelo Martino, RPH
• Terrence Lee Mason, PT
• Tracey Leanne Mason
• Leigh Anne Massey, MD
• Nicole Marie Materkoski, PT, DPT
• Lauren Jean Matheny

• Mental Health Counselor in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.