K & K Wellness LLC PLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

K & K WELLNESS LLC PLC

Practice address

4990 Johnson Ave NW Ste 14
Cedar Rapids, IA 52405-4259

Phone

(319) 551-9973

NPI assigned

May 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathrine Rachel Beckman-Shaull, LISWNPI 1629222153

Title

Ceo

Phone

(319) 551-9973

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathrine Rachel Beckman-Shaull, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
  • NPI 1629222153
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1063201838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 JOHNSON AVE NW STE 14",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 JOHNSON AVE NW STE 14",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524054259",
            "telephone_number": "319-551-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & K WELLNESS LLC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BECKMAN-SHAULL",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-551-9973",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240116",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750926796",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James L Justice, MD
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• Jerry W. Kaalberg, DDS
• Taylor Kay Kaas
• Toutou Kadiata
• Thane Ann Kading, RPH
• Juwarat Ains Kadiri, M.D.

• All providers in Cedar Rapids, IA
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.