Individual provider Active NPI

Kim Ann Beekman-Dew, LPC

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1740427749
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0701005826 Issued in VA
Practice address
699 Berkmar Court
Charlottesville, VA 22901
Phone
(434) 260-0830
Fax
(855) 944-3374
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2654 AL
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC0701005826 VA Primary

Addresses

Primary practice location

699 Berkmar Court
Charlottesville, VA 22901

Mailing address

699 Berkmar Court
Charlottesville, VA 22901
Phone (404) 936-3233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20260316000995 AK Practitioner - Mental Health Counselor 2668955881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

401 W International Airport Rd
Suite 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0701005826VAMDMental Health Counselor
2654ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Traditions Counseling Services, LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

401 W International Rd
Ste 17
Anchorage, AK 99518
Phone (907) 770-3656

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1740427749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 BERKMAR COURT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "404-936-3233",
            "fax_number": "855-944-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 BERKMAR COURT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22901",
            "telephone_number": "434-260-0830",
            "fax_number": "855-944-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEKMAN-DEW",
        "first_name": "KIM",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2654",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "LPC0701005826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.