Kathrine Rachel Beckman-Shaull, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007117 Issued in IA

Practice address

215 4TH Ave SE
Cedar Rapids, IA 52401-1844

Phone

(319) 551-9973

Fax

(866) 496-4073

NPI assigned

Nov 11, 2008

Last updated

Aug 25, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K and K Counseling LLC PLCGroup PAC ID 9133590334, 2 clinicians

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.

• K & K Counseling LLC PLC

  • Social Worker
  • Rowley, IA
  • NPI 1790417616
  Medicare reassignment Care Compare group NPD Authorized official
• K & K Wellness LLC PLC

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1063201838
  NPD Authorized official

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1629222153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 LUCAS AVE",
            "city": "ROWLEY",
            "state": "IA",
            "postal_code": "523299713",
            "telephone_number": "319-551-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 4TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011844",
            "telephone_number": "319-551-9973",
            "fax_number": "866-496-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN-SHAULL",
        "first_name": "KATHRINE",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007117",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callista Becker, PA-C
• Jennifer Becker, MA, LMHC
• Staci Becker, ARNP
• Stephanie Nichole Becker, ARNP
• Ralph C Beckett, MD
• Melinda Suzanne Beckman, RN
• Melissa Ann Becwar, ARNP
• Thea M Bedell
• Andrew R Beer, PH.D., LMFT
• Caitlin Beer, LMSW

• Clinical Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.