Beacon Therapy Associates, PC
NPI 1407084031 · Marriage & Family Therapist · Champlin, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beacon Therapy Associates, PC is a Marriage & Family Therapist organization in Champlin, MN (NPI 1407084031).
Provider details
- NPI number
- 1407084031
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shelly Davenport, President/Therapist(763) 528-5235
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 543 Coon Rapids Blvd NwCoon Rapids, MN 55433-5500Phone: (763) 951-3091Fax: (763) 951-3097
- 299 Coon Rapids Blvd NwCoon Rapids, MN 55433-5832Phone: (763) 951-3091Fax: (763) 951-3097
- 3101 Old Highway 8Roseville, MN 55113-1072Phone: (763) 951-3091Fax: (763) 951-3097
- 4501 Allendale DrSaint Paul, MN 55127-6349Phone: (763) 951-3091Fax: (763) 951-3097
- 700 Twelve Oaks Center DrWayzata, MN 55391-4401Phone: (763) 951-3091Fax: (763) 951-3097
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2018-05-18
Frequently asked questions
- What is Beacon Therapy Associates, PC's NPI number?
- Beacon Therapy Associates, PC's National Provider Identifier (NPI) is 1407084031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beacon Therapy Associates, PC?
- Beacon Therapy Associates, PC is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Beacon Therapy Associates, PC located?
- Beacon Therapy Associates, PC's practice location on file with NPPES is 11141 Zealand Ave N, Champlin, MN 55316.
- What is Beacon Therapy Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Beacon Therapy Associates, PC is (763) 951-3091.
- Does Beacon Therapy Associates, PC accept Medicare?
- Beacon Therapy Associates, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beacon Therapy Associates, PC?
- The authorized official listed on Beacon Therapy Associates, PC's NPPES record is Shelly Davenport, President/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beacon Therapy Associates, PC's NPI active?
- Yes — Beacon Therapy Associates, PC's NPI (1407084031) is active in the NPPES registry as of the last update on 2018-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.