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

Beacon Therapy Associates, PC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1407084031

Beacon Therapy Associates, PC is an Addiction (Substance Use Disorder) Counselor in Champlin, Minnesota. Works from 6 locations. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
6
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11141 Zealand Ave N
Champlin, MN 55316
Phone: (763) 951-3091
Fax: (763) 951-3097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 543 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5500 — (763) 951-3091
  • 299 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5832 — (763) 951-3091
  • 3101 Old Highway 8, Roseville, MN 55113-1072 — (763) 951-3091
  • 4501 Allendale Dr, Saint Paul, MN 55127-6349 — (763) 951-3091
  • 700 Twelve Oaks Center Dr, Wayzata, MN 55391-4401 — (763) 951-3091

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1407084031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Davenport — President/Therapist · (763) 528-5235
NPI enumeratedJune 22, 2009
Last updated in NPPESMay 18, 2018
Mailing address11141 Zealand Ave N, Champlin, MN 55316-3595

Other providers in Champlin