SUSAN MARIE CONNOLLY LADC
NPI 1366914392
Counselor - Addiction (Substance Use Disorder) in Montgomery, MN

Active since January 02, 2019
32298 STATE HIGHWAY 13, MONTGOMERY, MN 56069(507) 364-5312(507) 364-5908 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2022, Oct 14, 2021, Oct 24, 2019 and 1 more (4 updates tracked since 2019).

About Susan Marie Connolly Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN MARIE CONNOLLY LADC (NPI 1366914392) is an individual addiction (substance use disorder) provider in Montgomery, Minnesota, licensed in Minnesota (301422) and active in the NPI registry since January 2019. She maintains a secondary practice location in Saint Peter.

NPPES Registry Identity

NPI1366914392
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN MARIE CONNOLLYCredential: LADC
Location Address32298 STATE HIGHWAY 13Montgomery, MN 56069-4348
Mailing Address32298 State Highway 13Montgomery, MN 56069-4348 · (507) 364-5312 · Fax (507) 364-5908
Fax(507) 364-5908
Sole ProprietorNo
Enumeration DateJanuary 2, 2019
Last NPPES UpdateAugust 2, 20224 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1366914392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 301422
32298 STATE HIGHWAY 13, Montgomery, MN 56069

Secondary Practice Location 1

Location 1922 Swift StSaint Peter, MN 56082-1844 · Phone (507) 364-5312 · Fax (507) 364-5908

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
32298 STATE HIGHWAY 13
MONTGOMERY, MN 56069
Social Worker (Clinical)
32298 STATE HIGHWAY 13
MONTGOMERY, MN 56069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Connolly's NPI number?

The NPI number for Susan Connolly is 1366914392. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Susan Connolly located?

Susan Connolly practices at 32298 State Highway 13, Montgomery, MN 56069. The listed phone number is (507) 364-5312.

What is Susan Connolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Connolly was last updated on August 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.