Todd James Connaughty, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1617 Issued in MN

Practice address

3000 Highway 100 S Apt 203
Saint Louis Park, MN 55416-2146

Phone

(612) 719-3091

NPI assigned

Mar 5, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winona Health Services 160 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winona Health Services Hospital, Winona, MN, CCN 240044

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352

  MN

  Medicare reassignment Care Compare group NPD
• Winona Health Services

  • Community/Retail Pharmacy
  • Winona, MN
  • NPI 1144521089
  Care Compare group
• Winona Health Services

  • Durable Medical Equipment & Medical Supplies
  • Winona, MN
  • NPI 1265469530
  Care Compare group
• Winona Health Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MN
  • NPI 1447334602
  Care Compare group
• Winona Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Winona, MN
  • NPI 1578078036
  Care Compare group
• Winona Health Services

  • General Practice Physician
  • Winona, MN
  • NPI 1720210099
  Care Compare group
• Winona Health Services

  • Primary Care Clinic/Center
  • Winona, MN
  • NPI 1922758945
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winona Health Services

  • General Acute Care Hospital
  • Winona, MN
  • NPI 1295789352

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1306348495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HIGHWAY 100 S APT 203",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162146",
            "telephone_number": "612-719-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HIGHWAY 100 S APT 203",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162146",
            "telephone_number": "612-719-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNAUGHTY",
        "first_name": "TODD",
        "middle_name": "JAMES",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Conely, MD
• Brianna Jean Conklin
• Christopher Conley, LMFT
• Kellie Conn
• Shelley J. Conn, L.AC.
• Steven M Connelly, M.D.
• Jessica Beth Connolly Russow, AUD
• Korey Jacob Connor, PHD
• Rebecca Connor, LMFT
• Meghan Conrad

• All providers in Saint Louis Park, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.