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Deactivated NPI 1790597821 Deactivated / Inactive NPI Female Practitioner

Constance Mudore , LPC

Counselor - Professional • Rochester, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Constance Mudore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 24, 2025
NPI Deactivation Date May 15, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Constance Mudore, LPC was a registered Counselor - Professional practicing in Rochester, MN. Throughout an active medical career spanning 1 years, Constance Mudore provided care at the practice location at 2022 29TH PL NW UNIT 103 until profile deactivation on 2025-05-15.

Practice Location & Contact Primary Location

Practice Address

2022 29th Pl Nw Unit 103

Rochester, MN 559010839

Telephone 5074976332

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
84 Specialists

Practicing in Rochester, MN (2422 Statewide)

Telehealth Adoption Rate
9.5% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 1458-125

Definition to come...

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 15, 2025

Record deactivated on May 15, 2025

NPI Profile Active January 24, 2025

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2025

Registered at 2022 29TH PL NW UNIT 103, ROCHESTER, MN 559010839 (Tel: 5074976332)

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Updated Business Mailing Address January 24, 2025

Registered at 2022 29TH PL NW UNIT 103, ROCHESTER, MN 559010839 (Tel: 5074976332)

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Provider Name / Credentials Updated January 24, 2025

Recorded as CONSTANCE MUDORE, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2025

Counselor (License #1458-125 in WI)

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Initial NPI Registration & Enumeration January 24, 2025

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: 1790597821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2025
Last Update: January 24, 2025
Deactivation Date: May 15, 2025

Mailing Address

2022 29th Pl Nw Unit 103

Rochester, MN 559010839

Phone: 5074976332

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.