Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Connolly, LCPC

Individual provider Professional Counselor · NPI 1154951564

Tyler Connolly, LCPC is a Mental Health Counselor in Portland, Maine. Qualified in 2016, 10 years ago. Practices with Mainehealth, a 2,615-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
10
Licensed in
ME
In the registry since
2020
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

165 Lancaster St
Portland, ME 04101-2406
Phone: (260) 318-4422
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC6615 (ME)

Record details

NPI number1154951564
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mainehealth — 2615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland