Kate Jodell Beaman Friesner, MA MFT
Individual provider Active NPI Marriage & Family Therapist · Hackensack, MN
NPI 1073997128 · NPPES record last updated Jul 17, 2015
Key facts
- NPI
- 1073997128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 122 First Street North
Hackensack, MN 56452 - Phone
- (218) 675-5101
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Birch Lake Counseling LLC
Practice addresses (Care Compare)
9 Birch St N
Remer, MN 56672-4536
Phone (218) 566-5101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241112003466 | MN | Practitioner - Marriage and Family Therapist | 2466986567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3793 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Lake Counseling LLC | Current |
Accepting new patients |
Locations
9 Birch St NE
Remer, MN 56672
Phone (218) 566-1441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
122 First Street North
Hackensack, MN 56452
Mailing address
PO Box 471
Hackensack, MN 56452-0471
Phone (218) 675-5101
Other providers in Hackensack, MN
All providers in Hackensack, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.