Connor Bolduc
NPI 1093460180 · Professional Counselor · Maplewood, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Connor Bolduc is a Professional Counselor provider in Maplewood, MN (NPI 1093460180).
Provider details
- NPI number
- 1093460180
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4468 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 239 Cleveland Ave NSaint Paul, MN 55104-5730Phone: (612) 712-6435
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Frequently asked questions
- What is Connor Bolduc's NPI number?
- Connor Bolduc's National Provider Identifier (NPI) is 1093460180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Connor Bolduc's specialty?
- Connor Bolduc is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Connor Bolduc located?
- Connor Bolduc's practice location on file with NPPES is 2103 County Road D E Ste B, Maplewood, MN 55109-5358.
- What is Connor Bolduc's phone number?
- The practice phone number listed in the NPPES registry for Connor Bolduc is (612) 915-0049.
- Does Connor Bolduc accept Medicare?
- Connor Bolduc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Connor Bolduc's NPI active?
- Yes — Connor Bolduc's NPI (1093460180) is active in the NPPES registry as of the last update on 2025-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.