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KATRINA BEARDMORE LPC
NPI 1396598058
Counselor - Professional in Wauwatosa, WI

Active since April 10, 2024PECOS Enrolled
830 N 109TH ST STE 1, WAUWATOSA, WI 53226(608) 535-9453 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Apr 10, 2024 (2 updates tracked since 2024).

About Katrina Beardmore Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA BEARDMORE LPC (NPI 1396598058) is an individual professional provider in Wauwatosa, Wisconsin, licensed in Wisconsin (7706) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396598058
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATRINA BEARDMORECredential: LPC
Location Address830 N 109TH ST STE 1Wauwatosa, WI 53226-3754
Mailing Address830 N 109th St Ste 1Wauwatosa, WI 53226-3754 · (608) 535-9453
Phone(608) 535-9453
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2024
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1396598058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7706
830 N 109TH ST STE 1, Wauwatosa, WI 53226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina Beardmore Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072008929
PECOS Enrollment IDI20251218002678
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON WALOWSKI MSN, APNP, AGPCNP-BC
Nurse Practitioner
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Milwaukee County (414) 777-1811
KENNEDY WILCOX
Counselor (Mental Health)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Milwaukee County (414) 246-1448
LITTLE LIGHTHOUSE COUNSELING
Counselor (Professional)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Milwaukee County (414) 215-0427
MRS. DAWN HENKHAUS LPC
Counselor (Mental Health)
830 N 109TH ST STE 1
WAUWATOSA, WI 53226
Milwaukee County (262) 352-9533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Beardmore's NPI number?

The NPI number for Katrina Beardmore is 1396598058. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Katrina Beardmore located?

Katrina Beardmore practices at 830 N 109th St Ste 1, Wauwatosa, WI 53226. The listed phone number is (608) 535-9453.

What is Katrina Beardmore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Katrina Beardmore enrolled in Medicare?

Yes. Katrina Beardmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Beardmore was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.