Organization Active NPI

Telos Counseling, LLC

  • Professional Counselor
  • Lake Elmo, MN
National Provider Identifier
1023875366
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TELOS COUNSELING, LLC
Practice address
8673 Eagle Point Blvd Ste 203
Lake Elmo, MN 55042-8661
Phone
(612) 217-0650
NPI assigned
Mar 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Drewianka, LPPCNPI 1396492344
Title
Owner
Phone
(952) 240-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

8673 Eagle Point Blvd Ste 203
Lake Elmo, MN 55042-8661

Mailing address

4141 Old Sibley Memorial Hwy
Eagan, MN 55122-1996
Phone (612) 217-0650

National Provider Directory

National Provider Directory

Locations

8673 Eagle Point Blvd
Ste 203
Lake Elmo, MN 55042
Phone (612) 217-0650

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1023875366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 OLD SIBLEY MEMORIAL HWY",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221996",
            "telephone_number": "612-217-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8673 EAGLE POINT BLVD STE 203",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428661",
            "telephone_number": "612-217-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "DREWIANKA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-240-1849",
        "authorized_official_credential": "LPPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.