TIMOTHY J CONNELY


Address: 1255 Kendall Rd, San Luis Obispo, CA 93401-8750
Phone: 8057813535

TIMOTHY J CONNELY (NPI# 1740844398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740844398
Entity Type Individual
Full Name TIMOTHY J CONNELY
Credential M. ED, MS
Practice Address 1255 Kendall Rd
San Luis Obispo
CA 93401-8750
Practice Telephone 8057813535
Enumeration Date 2019-04-30
Last Update Date 2019-12-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 116463 CA Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1255 KENDALL RD
City SAN LUIS OBISPO
State CA
Zip Code 93401-8750

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336284124 Irianna Lembo Marriage & Family Therapist 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2007-02-20
1841890852 Neal T Mohr Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-10-28
1689272155 Cody W Mello Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-10-15
1164045118 Martha Soledad Reck Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-05-26
1043833296 Alyssa Perez Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-05-22
1588287833 Samantha Brown Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-05-21
1063035384 Marissa Monee Sanchez Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-05-20
1841813250 Madison Debruin Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-05-19
1568083871 Crystal Linn-castro Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-04-28
1881213809 Julia Wagithi Muya Counselor 1255 Kendall Rd, San Luis Obispo, CA 93401-8750 2020-04-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
Find all providers in zip 93401

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245868769 Michael Mazzella Marriage & Family Therapist 1190 Marsh St Ste E, San Luis Obispo, CA 93401-3332 2020-03-30
1669005609 Serena Jade Andrews Marriage & Family Therapist 1461 Higuera St Ste C, San Luis Obispo, CA 93401-2948 2020-02-18
1437655529 Pamela Suraci Marriage & Family Therapist 3591 Sacramento Dr Ste 116, San Luis Obispo, CA 93401-7256 2018-04-05
1588174999 Erin Lynn Lindvall Marriage & Family Therapist 895 Aerovista Pl Ste 106, San Luis Obispo, CA 93401-8725 2017-10-11
1053859116 Julie Messer Marriage & Family Therapist 697 Higuera St, Suite D, San Luis Obispo, CA 93401-3544 2017-02-08
1013465210 Pamela Kremza Marriage & Family Therapist 508 Higuera St, San Luis Obispo, CA 93401-3835 2016-09-15
1467805333 Shelley Triggs Marriage & Family Therapist 1264 Higuera St Ste 100, San Luis Obispo, CA 93401-3171 2016-07-15
1225485147 Melissa Carol Campe Marriage & Family Therapist 3392 Rockview Pl, Apt #1, San Luis Obispo, CA 93401-6787 2016-05-20
1194187369 Stephanie Baisa Wilson Marriage & Family Therapist 1190 Marsh St Ste A, San Luis Obispo, CA 93401-3332 2016-03-25
1134500192 Anne Appel Marriage & Family Therapist 1461 Higuera Street, Suite B, San Luis Obispo, CA 93401-3722 2015-06-16
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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