Active NPI
David Staton, LPCC
- Mental Health Counselor
- Eagan, MN
National Provider Identifier
1881557429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5355
- Practice address
- 3460 Washington Dr Ste 109
Eagan, MN 55122-4301 - Phone
- (651) 560-0050
- Fax
- (651) 925-0257
- NPI assigned
- Dec 9, 2025
- Last updated
- Dec 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5355 | MN | Primary |
Addresses
Primary practice location
3460 Washington Dr Ste 109
Eagan, MN 55122-4301
Mailing address
3460 Washington Dr Ste 109
Eagan, MN 55122-4301
Phone (651) 560-0050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3460 Washington Dr
Suite 109
Eagan, MN 55122-4301
Phone (651) 560-0050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5355 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Threads of Hope Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
3460 Washington Dr
Ste 109
Saint Paul, MN 55122
Phone (612) 440-2678
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1881557429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 WASHINGTON DR STE 109",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224301",
"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": "3460 WASHINGTON DR STE 109",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224301",
"telephone_number": "651-560-0050",
"fax_number": "651-925-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "5355",
"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 Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.