1. Home
  2. Directory
  3. Minnesota
  4. Champlin
  5. Marriage Family Therapist
  6. NPI Profile

MRS. SHELLY MARIE DAVENPORT MS, LMFT
NPI 1134166275
Marriage & Family Therapist in Champlin, MN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
11141 ZEALAND AVE N, CHAMPLIN, MN 55316(763) 951-3091(763) 951-3097 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Shelly Marie Davenport Ms, Lmft NPPES

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

MRS. SHELLY MARIE DAVENPORT MS, LMFT (NPI 1134166275) is an individual marriage & family therapist in Champlin, Minnesota, licensed in Minnesota (1139) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1134166275
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SHELLY MARIE DAVENPORTCredential: MS, LMFT
Location Address11141 ZEALAND AVE NChamplin, MN 55316
Mailing Address11141 Zealand Ave NChamplin, MN 55316-3595 · (763) 951-3091 · Fax (763) 951-3097
Phone(763) 951-3091
Fax(763) 951-3097
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 31, 2006
Last NPPES UpdateMay 18, 2018
✔ NPI 1134166275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1139
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
11141 ZEALAND AVE N, Champlin, MN 55316
Open in Google Maps ↗

Other Names 1

Former Name (1)Shelly Marie Britton None At The Time

Other Identifiers 1

Medicaid407168900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shelly Marie Davenport Ms, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961655162
PECOS Enrollment IDI20231218002583
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

MRS. SHANNON LEE ROYER COUNSELOR
Counselor (Mental Health)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 670-6050
DARLENE SHERICE RILEY
Social Worker
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 951-3091
BEACON THERAPY ASSOCIATES, PC
Marriage & Family Therapist
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 951-3091
MR. CHRISTOPHER DAVID EMERY MSW, LICSW
Social Worker (Clinical)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 442-8101
LOREN BERGSTEDT LPC, LADC
Counselor (Professional)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (651) 769-7607
JAN MARIE D'AMBROSIO MA, LMFT
Counselor (Mental Health)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 951-3091
AMY BIANCHI-ROSSI LPCC
Counselor (Mental Health)
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 670-6050
MICHELLE LEE ROGERS MSW, LGSW
Social Worker
11141 ZEALAND AVE N
CHAMPLIN, MN 55316
Hennepin County (763) 951-3091

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 Shelly Davenport's NPI number?

The NPI number for Shelly Davenport is 1134166275. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Shelly Marie Britton None At The Time.

Where is Shelly Davenport located?

Shelly Davenport practices at 11141 Zealand Ave N, Champlin, MN 55316. The listed phone number is (763) 951-3091.

What is Shelly Davenport's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shelly Davenport enrolled in Medicare?

Yes. Shelly Davenport is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelly Davenport accept?

Health plans from HealthPartners list Shelly Davenport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Davenport was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.