Individual provider Active NPI

Michelle Elizabeth Meehan, MA LPCC

  • Mental Health Counselor
  • Eagan, MN
National Provider Identifier
1770910689
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03260 Issued in MN
Practice address
4660 Slater Rd Ste 210
Eagan, MN 55122-4055
Phone
(815) 218-5330
Fax
(651) 683-0057
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03260 MN Primary

Addresses

Primary practice location

4660 Slater Rd Ste 210
Eagan, MN 55122-4055

Mailing address

4660 Slater Rd Ste 210
Eagan, MN 55122-4055
Phone (815) 218-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC03260MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1770910689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224055",
            "telephone_number": "815-218-5330",
            "fax_number": "651-683-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224055",
            "telephone_number": "815-218-5330",
            "fax_number": "651-683-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "MA LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.