Katrina Beardmore, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7706 Issued in WI

Practice address

830 N 109TH St Ste 1
Wauwatosa, WI 53226-3754

Phone

(608) 535-9453

NPI assigned

Apr 10, 2024

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Honey Creek Counseling LLC

  • Professional Counselor
  • Wauwatosa, WI
  • NPI 1649023813
  Medicare reassignment NPD
• Trivium LLC

  dba Crossroads Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1265450753
  NPD
• Trivium LLC

  dba Crossroads Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Sun Prairie, WI
  • NPI 1427463066
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1396598058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N 109TH ST STE 1",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263754",
            "telephone_number": "608-535-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N 109TH ST STE 1",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263754",
            "telephone_number": "608-535-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDMORE",
        "first_name": "KATRINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soliven C Bautista, M.D.
• Dale E Bauwens, MD
• Jake D Bauwens, M.D
• Chequinta Baylor
• Be Free Counseling Services LLC
• Marissa May Beaty
• Bernadette Beaumont, NP
• Kathryn Becherer, DDS
• Jordan Carly Jane Beck, M.S., CCC/SLP
• Josie Elizabeth Beck, LPC-IT, ATR-P

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.