Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Connor Bolduc

Individual provider Professional Counselor · NPI 1093460180

Connor Bolduc is a Professional Counselor in Maplewood, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
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Practice location Address checks out

2103 County Road D E Ste B
Maplewood, MN 55109-5358
Phone: (612) 915-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 239 Cleveland Ave N, Saint Paul, MN 55104-5730 — (612) 712-6435

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4468 (MN)

Record details

NPI number1093460180
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 21 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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