BEACON THERAPY ASSOCIATES, PC – Marriage & Family Therapist, NPI 1407084031
Marriage & Family Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BEACON THERAPY ASSOCIATES, PC
3101 Old Highway 8
Roseville, MN 551131072
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Location
700 Twelve Oaks Center Dr
Wayzata, MN 553914401
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Location
543 Coon Rapids Blvd NW
Coon Rapids, MN 554335500
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Location
299 Coon Rapids Blvd NW
Coon Rapids, MN 554335832
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Location
4501 Allendale Dr
Saint Paul, MN 551276349
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Location
11141, Zealand Avenue North, Champlin, Hennepin County, Minnesota, 55316, United States
CHAMPLIN, MN 553163595
Phone: (763) 951-3091
Fax: (763) 951-3097
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130122000412 | O | Clinic/Group Practice | MN | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55113)
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