TODD JAMES CONNAUGHTY (LPCC, LADC) – Mental Health Counselor, NPI 1306348495

TODD JAMES CONNAUGHTY (LPCC, LADC) is a healthcare provider. based in Saint louis park, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LADC. They hold a License No. 1617 (MN). The NPI Number for TODD JAMES CONNAUGHTY (LPCC, LADC) is 1306348495

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TODD JAMES CONNAUGHTY (LPCC, LADC)
NPI
1306348495
Phone
(612) 719-3091
Address
3000 HIGHWAY 100 S APT 203
Enumeration Date
5 March 2018
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074543650
Graduation Year
2015 (11 years ago)
PAC ID
0244687168
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20240221001745
Address ID
MN559874868WI855XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for TODD JAMES CONNAUGHTY (LPCC, LADC)

  • 3000 HIGHWAY 100 S APT 203

    SAINT LOUIS PARK, MN 554162146

    Phone: (612) 719-3091

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240221001745IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
O P T O M E T R YMN
Nurse PractitionerWI
Physician AssistantMN
Nurse PractitionerWI
Internal MedicineMN

Reviews

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Frequently asked questions

What federal number belongs to TODD JAMES CONNAUGHTY (LPCC, LADC)?
The federal identifier for TODD JAMES CONNAUGHTY (LPCC, LADC) is NPI 1306348495.
Is TODD JAMES CONNAUGHTY (LPCC, LADC) currently active in the NPI registry?
CMS-published data lists TODD JAMES CONNAUGHTY (LPCC, LADC) as an active registrant.
Does TODD JAMES CONNAUGHTY (LPCC, LADC) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for TODD JAMES CONNAUGHTY (LPCC, LADC). Clinical services aligned with this taxonomy classification.
What location metadata exists for TODD JAMES CONNAUGHTY (LPCC, LADC)?
The page summarizes Saint Louis Park, Minnesota for TODD JAMES CONNAUGHTY (LPCC, LADC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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