Zachary Bodeau, LPCC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4891 Issued in MN

Practice address

822 S 3Rd St Ste 100
Minneapolis, MN 55415-1200

Phone

(612) 217-1667

Fax

(612) 324-1864

NPI assigned

May 23, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Minnesota Trauma Recovery Institute

  • Counselor
  • Minneapolis, MN
  • NPI 1598303794
  NPD
• RS Eden

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
  • NPI 1063590214
  NPD (past)

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1609669605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W BROADWAY AVE STE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112469",
            "telephone_number": "612-287-1600",
            "fax_number": "612-287-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 3RD ST STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151200",
            "telephone_number": "612-217-1667",
            "fax_number": "612-324-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEAU",
        "first_name": "ZACHARY",
        "credential": "LPCC, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Neil Bock, MD
• Diego McKay Bock
• Kirsten Bock, AU.D
• Mitchell Bockenstedt, ATC
• Walter O Bockting, PHD
• Lora Janelle Bodell
• Darcy Bodger, OTR/L
• Shruti Sanjay Bodhankar, M.B.B.S.
• Bianca Lee Bodine-Haag, LADC
• Paru Bodiwala

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.