MEDICARE: TELOS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1023875366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TELOS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	4141 OLD SIBLEY MEMORIAL HWY
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1996
Country	:	US
Telephone Number	:	612-217-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	8673 EAGLE POINT BLVD STE 203
Second Line	:
City	:	LAKE ELMO
State	:	MN
Zip	:	55042-8661
Country	:	US
Telephone Number	:	612-217-0650
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RYAN DREWIANKA
Credential	:	LPPC
Telephone Number	:	952-240-1849

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	12/08/2025

Similar Medicare Providers

1396492344 — RYAN DREWIANKA LPCC
Practice Location Address:

8673 EAGLE POINT BLVD STE 203
LAKE ELMO, MN
55042-8661

Practice Phone: 612-217-0650
Practice Fax:

1821729195 — RYTHER SPEECH AND LANGUAGE SERVICES LLC
Practice Location Address:

8673 EAGLE POINT BLVD # 203
LAKE ELMO, MN
55042-8661

Practice Phone: 763-200-6256
Practice Fax:

1356229728 — ANDREW KLOTZ MA
Practice Location Address:

8673 EAGLE POINT BLVD
LAKE ELMO, MN
55042-8661

Practice Phone: 952-228-1370
Practice Fax:

1720920200 — GINGER MARIE SHRADER PMHNP
Practice Location Address:

221 W LAKE LANSING RD STE 100
EAST LANSING, MI
48823-8661

Practice Phone: 989-494-1539
Practice Fax:

1407798903 — GINGER SHRADER LLC
Practice Location Address:

221 W LAKE LANSING RD STE 100
EAST LANSING, MI
48823-8661

Practice Phone: 989-494-1539
Practice Fax: 833-740-3674

1700867025 — MR. DANIEL LAURENCE HUNT DO
Practice Location Address:

221 W LAKE LANSING RD , STE 300
EAST LANSING, MI
48823-8661

Practice Phone: 517-351-0001
Practice Fax: 517-351-0012

Directions to “TELOS COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.