Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154405868 Individual Practitioner Male Practitioner

Gary Rex Beaver , MA

Psychologist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Gary Beaver, MA is a registered healthcare professional specializing in Psychologist in Coon Rapids, MN. Practice services are available at 199 COON RAPIDS BLVD NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

199 Coon Rapids Blvd Nw
Suite 306

Coon Rapids, MN 554335831

Telephone 7637801520
Fax 7637802114
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Coon Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Coon Rapids, MN (1833 Statewide)

Telehealth Adoption Rate
19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP2584

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1265897011
Ruth Ormiston , LICSW

Counselor - Mental Health

NPI 1366537003

Licensed Independent Clinical Social Worker

Janet Erickson , LMFT

Marriage & Family Therapist

NPI 1407919921

Licensed Marriage and Family Therapist

Shelley Slominski , MA LMFT

Marriage & Family Therapist

NPI 1497145049

MALMFT

Nichole Meyer

Social Worker - Clinical

NPI 1568241016
Marlana Balk

Counselor

NPI 1568392694

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 554335831 (Tel: 7637801520)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2211 TAFT ST NE, MINNEAPOLIS, MN 554184129 (Tel: 6127810275)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY BEAVER, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP2584 in MN)

🟢
Initial NPI Registration & Enumeration October 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154405868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2211 Taft St Ne

Minneapolis, MN 554184129

Phone: 6127810275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.