BEACON THERAPY ASSOCIATES, PC - NPI 1407084031 - Marriage & Family Therapist in Champlin, MN

Q: What is Beacon Therapy Associates, PC's NPI number?

The NPI number for Beacon Therapy Associates, PC is 1407084031. It was assigned to this organization in the NPPES registry on June 22, 2009.

Q: What is Beacon Therapy Associates, PC's specialty?

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

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About Beacon Therapy Associates, Pc NPPES

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

BEACON THERAPY ASSOCIATES, PC (NPI 1407084031) is a healthcare organization registered as a marriage & family therapist in Champlin, Minnesota and active in the NPI registry since June 2009. The organization maintains 5 additional practice locations and lists Shelly Marie Davenport, President/therapist, as its authorized official.

NPPES Registry Identity

NPI1407084031

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameBEACON THERAPY ASSOCIATES, PC

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

Organization SubpartNo

Authorized OfficialShelly Marie DavenportPresident/therapist · (763) 528-5235

Enumeration DateJune 22, 2009

Last NPPES UpdateMay 18, 2018

✔ NPI 1407084031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

11141 ZEALAND AVE N, Champlin, MN 55316

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Secondary Practice Locations 5

Location 1700 Twelve Oaks Center DrWayzata, MN 55391-4401 · Phone (763) 951-3091 · Fax (763) 951-3097

Location 2543 Coon Rapids Blvd NWCoon Rapids, MN 55433-5500 · Phone (763) 951-3091 · Fax (763) 951-3097

Location 3299 Coon Rapids Blvd NWCoon Rapids, MN 55433-5832 · Phone (763) 951-3091 · Fax (763) 951-3097

Location 43101 Old Highway 8Roseville, MN 55113-1072 · Phone (763) 951-3091 · Fax (763) 951-3097

Location 54501 Allendale DrSaint Paul, MN 55127-6349 · Phone (763) 951-3091 · Fax (763) 951-3097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

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)