Individual provider Active NPI

Kathleen Bischel Beddow, LMFT

  • Marriage & Family Therapist
  • Saint Paul, MN
National Provider Identifier
1760737886
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2535 Issued in MN
Practice address
821 Raymond Ave Ste 440
Saint Paul, MN 55114-1525
Phone
(651) 642-9317
NPI assigned
Jul 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 2535 MN Primary

Addresses

Primary practice location

821 Raymond Ave Ste 440
Saint Paul, MN 55114-1525

Mailing address

168 6TH St E
#3202
Saint Paul, MN 55101-1991
Phone (651) 238-9219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250122000164 MN Practitioner - Marriage and Family Therapist 1355870221 Practice locations: Saint Paul, MN

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1525
Phone (651) 642-9317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2535MNMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1760737886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 6TH ST E",
            "address_2": "#3202",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011991",
            "telephone_number": "651-238-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 440",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141525",
            "telephone_number": "651-642-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDOW",
        "first_name": "KATHLEEN",
        "middle_name": "BISCHEL",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.