Individual provider Active NPI

Kyra J Beckman, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1235620949
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
541-228 Issued in WI
Practice address
520 University Ave Ste 340
Madison, WI 53703-4925
Phone
(608) 424-2413
Fax
(608) 729-3434
NPI assigned
May 29, 2018
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 541-228 WI Primary

Addresses

Primary practice location

520 University Ave Ste 340
Madison, WI 53703-4925

Mailing address

520 University Ave Ste 340
Madison, WI 53703-4925
Phone (608) 424-2413

Other practice location 1

6333 Odana Rd
Madison, WI 53719-1170
Phone (608) 270-2511 ext. 14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260427001807 WI Practitioner - Marriage and Family Therapist 4880161900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 Wisconsin Ave
FL 2
Madison, WI 53703-1462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
541-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gifts of Emotion, LLC PastSince Jul 12, 2020 Accepting new patients

Organizations & group practices 2

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1235620949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UNIVERSITY AVE STE 340",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034925",
            "telephone_number": "608-424-2413",
            "fax_number": "608-729-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UNIVERSITY AVE STE 340",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034925",
            "telephone_number": "608-424-2413",
            "fax_number": "608-729-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 Odana Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537191170",
            "country_code": "US",
            "telephone_number": "608-270-2511 x14",
            "fax_number": "608-270-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "KYRA",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "541-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.