Beacon Therapy Associates, PC
Beacon Therapy Associates, PC is a healthcare organization registered as Marriage & Family Therapist in Champlin, MN, holding Type 2 (organization) NPI 1407084031 since 2009. The authorized official on file is Shelly Davenport, President/Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407084031 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beacon Therapy Associates, PC |
| Practice address | 11141 ZEALAND AVE N, Champlin, MN, 55316 |
| Phone | 7639513091 |
| Fax | 7639513097 |
| Enumeration date | 2009-06-22 |
| Last updated in NPPES | 2018-05-18 |
Authorized official
| Name | Shelly Davenport |
|---|---|
| Title | President/Therapist |
| Phone | 7635285235 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | Secondary | — | — |
| 106H00000X | Marriage & Family Therapist | Primary | — | — |
Copy-ready billing details
Provider: Beacon Therapy Associates, PC NPI: 1407084031 Taxonomy: 106H00000X (Marriage & Family Therapist) Address: 11141 ZEALAND AVE N, Champlin, MN, 55316
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134166275 | Shelly Davenport | Individual | Marriage & Family Therapist | Champlin, MN |
| 1477693851 | Christopher Emery | Individual | Clinical Social Worker | Champlin, MN |
| 1730395252 | Gary Sandberg | Individual | Marriage & Family Therapist | Champlin, MN |
| 1972871168 | Christina Evensen | Individual | Professional Counselor | Champlin, MN |
| 1679815997 | Amy Bianchi-Rossi | Individual | Mental Health Counselor | Champlin, MN |
| 1538570726 | Loren Bergstedt | Individual | Professional Counselor | Champlin, MN |
| 1861889172 | Susan Riekels | Individual | Mental Health Counselor | Champlin, MN |
| 1992184006 | Matthew Darnold | Individual | Mental Health Counselor | Champlin, MN |
Verify this record
Cross-check NPI 1407084031 against the authoritative CMS record: view Beacon Therapy Associates, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Beacon Therapy Associates, PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-05-18.