Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093460180 Individual Practitioner Male Practitioner

Connor Bolduc

Counselor - Professional • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Connor Bolduc is a registered healthcare professional specializing in Counselor - Professional in Maplewood, MN. Practice services are available at 2103 COUNTY ROAD D E STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2103 County Road D E Ste B

Maplewood, MN 551095358

Telephone 6129150049
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Maplewood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Maplewood, MN (2422 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 4468

Definition to come...

Secondary Practice Locations

239 Cleveland Ave N

Saint Paul, MN 551045730

Phone: 6127126435

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Jonathan Wagner , LPCC

Counselor - Professional

NPI 1063006724

Licensed Professional Clinical Counselor

Melissa Haldeman , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144092743

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Lindsay Noreen , LPCC

Counselor - Professional

NPI 1164993267

Licensed Professional Clinical Counselor

Dr. Jennifer Hammes , PsyD, LP

Psychologist - Clinical

NPI 1184178394

Doctor of Psychology (Psy.D.), Licensed Psychologist

Jacynte Denardo , LPCC

Counselor - Professional

NPI 1194479212

Licensed Professional Clinical Counselor

Ashley Brinkman , LPCC

Counselor - Professional

NPI 1225500937

Licensed Professional Clinical Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 28, 2025

Registered at 2103 COUNTY ROAD D E STE B, MAPLEWOOD, MN 551095358 (Tel: 6129150049)

📍
Updated Business Mailing Address July 28, 2025

Registered at 4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 852517630 (Tel: 6129150049)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Counselor (License #4468 in MN)

NPI Profile Active February 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2022

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786 (Tel: 6516289566)

📍
Updated Business Mailing Address February 16, 2022

Registered at 1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 551121786

👤
Provider Name / Credentials Updated February 16, 2022

Recorded as CONNOR BOLDUC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2022

Counselor

🟢
Initial NPI Registration & Enumeration February 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093460180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2022
Last Update: July 28, 2025
Sole Proprietor: No

Mailing Address

4800 N Scottsdale Rd Ste 2500

Scottsdale, AZ 852517630

Phone: 6129150049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.