Beacon Therapy Associates, PC
NPI 1407084031ActiveOrganization· Marriage & Family Therapist· Champlin, MN
Marriage & Family Therapist in Champlin, Minnesota, registered in NPPES in June 2009. The authorized official on file is Shelly Marie Davenport, MS, LMFT, President/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407084031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2009 |
| Last updated in NPPES | May 18, 2018 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Marriage & Family Therapist providers in Champlin
- 1134166275
- 1245358076
- 1720556657
- 1679536973
- 1376268284
- 1730395252