Telos Counseling, LLC
Counselor, Professional in Lake Elmo, MN. Organization (NPI-2).
NPI number1023875366
StatusActive
Last updated in NPPESDec 8, 2025
Details
- NPI
- 1023875366
- Entity type
- Organization (NPI-2)
- Legal business name
- Telos Counseling, LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Dec 8, 2025
- Last updated
- Dec 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
8673 Eagle Point Blvd Ste 203Lake Elmo, MN 55042-8661
Phone 612-217-0650
Mailing address
4141 Old Sibley Memorial HwyEagan, MN 55122-1996
Phone 612-217-0650
Authorized official
Ryan Drewianka
Owner
9522401849
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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