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Beacon Therapy Associates, PC

Marriage & Family Therapist in Champlin, MN · enumerated 2009 · authorized official Shelly Davenport, President/Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407084031

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Registry record

Entity type Organization (Type 2)
Legal business name Beacon Therapy Associates, PC
Practice address 11141 Zealand Ave N, Champlin, MN, 55316
Fax (763) 951-3097
Enumeration date Jun 22, 2009
Last updated in NPPES May 18, 2018

Taxonomy & classification

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

Authorized official

Name Shelly Davenport
Title President/Therapist

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.

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Frequently asked questions

What type of organization is Beacon Therapy Associates, PC?
Beacon Therapy Associates, PC is registered in NPPES as a Marriage & Family Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-18.