MEDICARE: KIMBERLY HEIN-BEARDSLEY MS, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	633-124	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235846460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY HEIN-BEARDSLEY MS, LMFT

Provider Business Mailing Address
First Line	:	319 COTTAGE LANE
Second Line	:
City	:	DEERFIELD
State	:	WI
Zip	:	53531
Country	:	US
Telephone Number	:	608-220-7226
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 COTTAGE LANE
Second Line	:
City	:	DEERFIELD
State	:	WI
Zip	:	53531
Country	:	US
Telephone Number	:	608-220-7226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	01/20/2026

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