Organization Active NPI

Beloved Therapy LLC

  • Marriage & Family Therapist
  • Cambridge, WI
National Provider Identifier
1790495232
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BELOVED THERAPY LLC
Practice address
414 W Main St
Cambridge, WI 53523-9144
Phone
(608) 616-5085
NPI assigned
Nov 23, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Brenda Lovick, MDIV, MA, LMFTNPI 1376161489
Title
Owner/Psychotherapist
Phone
(608) 616-5085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

414 W Main St
Cambridge, WI 53523-9144

Mailing address

414 W Main St
Cambridge, WI 53523-9144
Phone (608) 616-5085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517002564 WI Part B Supplier - Clinic/Group Practice 5799126900 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, WI

National Provider Directory

National Provider Directory

Locations

414 W Main St
Cambridge, WI 53523
Phone (608) 616-5085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1790495232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W MAIN ST",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239144",
            "telephone_number": "608-616-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MAIN ST",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239144",
            "telephone_number": "608-616-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LOVICK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-616-5085",
        "authorized_official_credential": "MDIV, MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.