KATIE BEEDLE
NPI 1912504432
Counselor - Addiction (Substance Use Disorder) in Blaine, MN

Active since October 07, 2020PECOS EnrolledAccepts Medicare Assignment
11870 ULYSSES ST NE STE 200, BLAINE, MN 55434(763) 482-9598 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2023, Oct 7, 2020 (2 updates tracked since 2020).

About Katie Beedle NPPES

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

KATIE BEEDLE (NPI 1912504432) is an individual addiction (substance use disorder) provider in Blaine, Minnesota, licensed in Minnesota (304237) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912504432
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATIE BEEDLE
Location Address11870 ULYSSES ST NE STE 200Blaine, MN 55434-4193
Mailing Address2118 Blaisdell AveMinneapolis, MN 55404-2415 · (612) 872-0727 · Fax (612) 872-8855
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 7, 2020
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1912504432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 304237
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2083 (MN)
11870 ULYSSES ST NE STE 200, Blaine, MN 55434

Secondary Practice Location 1

Location 12118 Blaisdell AveMinneapolis, MN 55404-2415 · Phone (612) 872-0727 · Fax (612) 872-8855

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Beedle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911369707
PECOS Enrollment IDI20240229004229
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 2

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

Social Worker (Clinical)
11870 ULYSSES ST NE STE 200
BLAINE, MN 55434
Social Worker (Clinical)
11870 ULYSSES ST NE STE 200
BLAINE, MN 55434

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 Katie Beedle's NPI number?

The NPI number for Katie Beedle is 1912504432. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Katie Beedle located?

Katie Beedle practices at 11870 Ulysses St NE Ste 200, Blaine, MN 55434. The listed phone number is (763) 482-9598.

What is Katie Beedle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Katie Beedle enrolled in Medicare?

Yes. Katie Beedle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katie Beedle accept?

Health plans from HealthPartners list Katie Beedle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katie Beedle was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.