Active NPI
Joel Marc Connelly, LPC
- Professional Counselor
- Lombard, IL
National Provider Identifier
1497035224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178007529
- Practice address
- 1263 S Highland Ave
2D
Lombard, IL 60148-4516 - Phone
- (630) 290-7762
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178007529 | IL | Primary |
Addresses
Primary practice location
1263 S Highland Ave
2D
Lombard, IL 60148-4516
Mailing address
6006 E Lake Dr
#3D
Lisle, IL 60532-3049
Phone (630) 561-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178007529 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl Roy Scianna and Associates LLC | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Lombard, IL
- NPI 1487912952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1497035224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6006 E LAKE DR",
"address_2": "#3D",
"city": "LISLE",
"state": "IL",
"postal_code": "605323049",
"telephone_number": "630-561-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 S HIGHLAND AVE",
"address_2": "2D",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601484516",
"telephone_number": "630-290-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "JOEL",
"middle_name": "MARC",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178007529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
- Comprehensive Clinical Services PC
- Comprehensive Counseling P C
- Comprehensive Medical Care Associates LLC
- Comprehensive Rehabilitation LTD
- Connect 33 Chiropractic LLC
- Connie B. Natvig PH.D., PC
- Consilium Counseling and Wellness
- Eve Marie Conversa, APRN
- Catherine Lea Conway, MS, LCPC
- Megan T Conway, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.