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

Mara Coyle, LPCCATR

Individual provider Mental Health Counselor · NPI 1770182123

Mara Coyle, LPCCATR is a Mental Health Counselor in Maplewood, Minnesota. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

1856 Beam Ave Ste 200
Maplewood, MN 55109-1162
Phone: (651) 661-6550
Fax: (651) 661-6551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC02473 (MN)

Record details

NPI number1770182123
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCCATR
Sole proprietorYes
NPI enumeratedOctober 17, 2020
Last updated in NPPESOctober 17, 2020
Certification dateOctober 17, 2020
Mailing address1856 Beam Ave Ste 200, Maplewood, MN 55109-1162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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