Individual provider Active NPI

Hallie Beecraft, LPC, CSAC

  • Mental Health Counselor
  • Racine, WI
National Provider Identifier
1063803096
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2692-226 Issued in WI
Practice address
420 7TH St
Racine, WI 53403-1222
Phone
(262) 634-2391
Fax
(262) 634-5342
NPI assigned
Feb 12, 2015
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16125-132 WI
Mental Health Counselor 101YM0800X 2692-226 WI Primary

Addresses

Primary practice location

420 7TH St
Racine, WI 53403-1222

Mailing address

1320 Wisconsin Ave
Racine, WI 53403-1978
Phone (262) 687-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210325000496 WI Practitioner - Clinical Social Worker 4688081300 Reassigns benefits to 1 organization
I20240207001497 WI Practitioner - Mental Health Counselor 4688081300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16125-132WIMDAddiction (Substance Use Disorder) Counselor
2692-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Mar 17, 2021 Accepting new patients
Family Service of Racine Mental Health PastSince Dec 20, 2016 Accepting new patients
Young Mens Christian Association PastSince Oct 31, 2021 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 259-7200

3805A Spring St
Ste 330
Mount Pleasant, WI 53405
Phone (262) 687-8640

1244 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2150

1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1063803096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031978",
            "telephone_number": "262-687-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391",
            "fax_number": "262-634-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEECRAFT",
        "first_name": "HALLIE",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16125-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2692-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.