NPIMap

Organization Active NPI

Threads of Hope Counseling, LLC

  • Marriage & Family Therapist
  • Eagan, MN
National Provider Identifier
1194190728
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THREADS OF HOPE COUNSELING, LLC
Practice address
3410 Federal Drive
Suite 101
Eagan, MN 55122-1337
Phone
(651) 560-0050
Fax
(651) 925-0257
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Jennifer E Beall, MA,LPCC,LPC,LPCNPI 1649703414
Title
Owner, Clinical Director
Phone
(651) 560-0050

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3410 Federal Drive
Suite 101
Eagan, MN 55122-1337

Mailing address

3410 Federal Drive
Suite 101
Eagan, MN 55122-1337
Phone (651) 560-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220001536 MN Part B Supplier - Clinic/Group Practice 5890139620 Receives reassigned benefits from 16 practitioners
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

Locations

3410 Federal Dr
Ste 101
Eagan, MN 55122
Phone (651) 788-9008

6070 Cahill Ave
Inver Grove Heights, MN 55076

303 21st St
Ste 232
Newport, MN 55055
Phone (612) 346-0458

3460 Washington Dr
Ste 109
Saint Paul, MN 55122
Phone (612) 440-2678

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1194190728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 FEDERAL DRIVE",
            "address_2": "SUITE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221337",
            "telephone_number": "651-560-0050",
            "fax_number": "651-925-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 FEDERAL DRIVE",
            "address_2": "SUITE 101",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221337",
            "telephone_number": "651-560-0050",
            "fax_number": "651-925-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREADS OF HOPE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2023-11-01",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "BEALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-560-0050",
        "authorized_official_credential": "MA,LPCC,LPC,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.