Individual provider Active NPI

E Lyla James Connolly, APCC

  • Mental Health Counselor
  • Pasadena, CA
National Provider Identifier
1922847862
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16545 Issued in CA
Practice address
107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012
Phone
(626) 681-3283
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16545 CA Primary

Addresses

Primary practice location

107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012

Mailing address

107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012

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

LicenseStateTypeSpecialty
16545CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Her Space Therapy, a Marriage and Family Corporation CurrentSince May 26, 2024 Accepting new patients

Locations

107 S Fair Oaks Ave
Ste 310
Pasadena, CA 91105
Phone (626) 219-0199

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1922847862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052012",
            "telephone_number": "626-681-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "E LYLA",
        "middle_name": "JAMES",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "16545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.