Beacon Therapy Associates, PC in Champlin, MN
This organization bills under NPI 1407084031, an organization record issued on Jun 22, 2009 with the primary taxonomy Marriage & Family Therapist. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1407084031
- Legal name
- Beacon Therapy Associates, PC
- Entity
- Type 2 · organization
- Primary taxonomy
- Marriage & Family Therapist 106H00000X
- Practice location
- 11141 ZEALAND AVE N, Champlin, MN 55316
- Phone
- 763-951-3091
- Enumerated
- Jun 22, 2009
- Record updated
- May 18, 2018
- Authorized official
- President/Therapist (title as filed)
6 clinicians CMS lists with Beacon Therapy Associates in Champlin
- Loren Bergstedt, LPC, LADCProfessional Counselor1538570726
- Amy Bianchi-Rossi, LPCCMental Health Counselor1679815997
- Jan D'Ambrosio, MA, LMFTMental Health Counselor1538625256
- Shelly Davenport, MS, LMFTMarriage & Family Therapist1134166275
- Nancy Dorman, LAMFTMarriage & Family Therapist1447594221
- Jeanne Ketola, MA LPCCMental Health Counselor1366822074
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Minnesota secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 101YA0400X Addiction (Substance Use Disorder) Counselor
- 101YP2500X Professional Counselor
- 1041C0700X Clinical Social Worker
- 106H00000X Marriage & Family Therapist
- 163WP0807X Child & Adolescent Psychiatric/Mental Health Registered Nurse
- 251S00000X Community/Behavioral Health Agency
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.