Nancy J Schmidt, PHD, CADC, MAC, CHES
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ponderay, ID
NPI 1003102500 · NPPES record last updated Mar 23, 2016
Key facts
- NPI
- 1003102500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 11540040 (ID)
- Practice address
- 30410 Highway 200
Ponderay, ID 83852-9601 - Phone
- (208) 263-7101
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11540040 | ID | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11540040 | ID | Yes |
Addresses
Primary practice location
30410 Highway 200
Ponderay, ID 83852-9601
Mailing address
1102 Hickory St
Sandpoint, ID 83864-2116
Phone (208) 263-2802
Other providers in Ponderay, ID
- Sanctuary of Integrative Wellbeing
- Sandpoint Chiropractic PLLC
- Sandpoint Dental Cosmetics, PLLC
- Geri Lynn Schaaf
- Michael David Schicker
- Traci D Schmidt
- Robert Seiberlich
- Bruce Spradlin
- Vern Stairs
- Jonathan Craig Stevens
All providers in Ponderay, ID · Addiction (Substance Use Disorder) Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.