Active NPI
Beacon Mental Health Counseling LLC
- Mental Health Counselor
- Blaine, MN
National Provider Identifier
1053198754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BEACON MENTAL HEALTH COUNSELING LLC
- Practice address
- 607 County Road 10 NE Ste 200
Blaine, MN 55434-2373 - Phone
- (320) 465-1869
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Coleman
- Title
- Co-Owner
- Phone
- (320) 465-1869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
607 County Road 10 NE Ste 200
Blaine, MN 55434-2373
Mailing address
607 County Road 10 NE Ste 200
Blaine, MN 55434-2373
Other practice location 1
301 MN-210
Suite 300
McGregor, MN 55760
Phone (612) 208-7080
National Provider Directory
National Provider DirectoryLocations
607 County Road 10 NE
Ste 200
Blaine, MN 55434
Phone (320) 465-1869
601 County Road 10 NE
Ste 200
Blaine, MN 55434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1053198754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 COUNTY ROAD 10 NE STE 200",
"city": "BLAINE",
"state": "MN",
"postal_code": "554342373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 COUNTY ROAD 10 NE STE 200",
"city": "BLAINE",
"state": "MN",
"postal_code": "554342373",
"telephone_number": "320-465-1869"
}
],
"practiceLocations": [
{
"address_1": "301 MN-210",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "McGregor",
"state": "MN",
"postal_code": "55760",
"country_code": "US",
"telephone_number": "612-208-7080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEACON MENTAL HEALTH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "320-465-1869"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.