Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagan Counseling Clinic

Organization Clinical Psychologist · NPI 1144311184

Eagan Counseling Clinic provides Clinical Psychologist services in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3

Practice location Address checks out

3450 Oleary Ln
Eagan, MN 55123-2340 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 454-0114
Fax: (651) 454-3492
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 800689-2-MHC (MN)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 800689-2-MHC (MN)
Case Management Agency Taxonomy 251B00000X · Licence 800689-2-MHC (MN)

Record details

NPI number1144311184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Dominic — Chief Financial Officer · (651) 365-8217
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 10, 2008
Mailing address3450 Oleary Ln, Eagan, MN 55123-2340

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