Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon Specialized Living Minnesota, Inc

Organization Psychologist · NPI 1528174349

Beacon Specialized Living Minnesota, Inc is a Psychologist in Mendota Heights, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1355 Mendota Heights Rd Ste 260
Mendota Heights, MN 55120
Phone: (651) 451-2889
Fax: (651) 451-5955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Day Care Clinic/Center (primary) Taxonomy 261QA0600X
Psychologist Taxonomy 103T00000X · Licence LP2482 (MN)
Assisted Living Facility Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Custodial Care Facility Taxonomy 311Z00000X

Record details

NPI number1528174349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Turner — Vice President Of Operations · (651) 451-2889
Other names Owakihi, Inc.
NPI enumeratedAugust 22, 2006
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address1355 Mendota Heights Road, Suite 260, Mendota Heights, MN 55120

Other providers in Mendota Heights