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DR. K. LARA BEANBLOSSOM PSYD
NPI 1427184795
Psychologist - Clinical in Winnetka, IL

Active since February 23, 2007PECOS Enrolled
545 LINCOLN AVE STE 4, WINNETKA, IL 60093(312) 385-9777 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2020, Feb 19, 2018 (2 updates tracked since 2018).

About Dr. K. Lara Beanblossom Psyd NPPES

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

DR. K. LARA BEANBLOSSOM PSYD (NPI 1427184795) is an individual clinical provider in Winnetka, Illinois, licensed in Illinois (071006369) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1427184795
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. K. LARA BEANBLOSSOMCredential: PSYD
Location Address545 LINCOLN AVE STE 4Winnetka, IL 60093-2349
Mailing Address30 N Michigan Ave, Ste 901Chicago, IL 60602-3767 · (312) 385-9777
Phone(312) 385-9777
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1427184795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071006369
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
545 LINCOLN AVE STE 4, Winnetka, IL 60093
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Other Names 1

Other Name (5)Dr. Katharine Lara Beanblossom

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. K. Lara Beanblossom Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204884018
PECOS Enrollment IDI20050108000101
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

GRACE R SUN
Occupational Therapist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (312) 780-0820
SH PROFESSIONAL SERVICES PLLC
Social Worker (Clinical)
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (847) 987-4470
MARY GEISER
Speech-Language Pathologist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (312) 780-0820
KELLY LUKANICH CCC-SLP
Speech-Language Pathologist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (312) 780-0820
DR. RENA GOODFRIEND-LEVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (847) 604-0564
AMANDA SCHULTZ
Speech-Language Pathologist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (312) 780-0820
KATELYN G KLUCKMAN MS, CF-SLP
Speech-Language Pathologist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (000) 000-0000
SHELBY LYNNE THELEN CCC-SLP
Speech-Language Pathologist
545 LINCOLN AVE STE 4
WINNETKA, IL 60093
Cook County (312) 780-0820

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 K. Lara Beanblossom's NPI number?

The NPI number for K. Lara Beanblossom is 1427184795. It was assigned to this individual provider in the NPPES registry on February 23, 2007. The provider is also known as Dr. Katharine Lara Beanblossom.

Where is K. Lara Beanblossom located?

K. Lara Beanblossom practices at 545 Lincoln Ave Ste 4, Winnetka, IL 60093. The listed phone number is (312) 385-9777.

What is K. Lara Beanblossom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is K. Lara Beanblossom enrolled in Medicare?

Yes. K. Lara Beanblossom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for K. Lara Beanblossom was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.