Matthew Louis Schaut, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1627 Issued in MN

Practice address

4408 69TH Ave N
Brooklyn Center, MN 55429-1739

Phone

(763) 566-3650

Fax

(763) 566-4217

NPI assigned

Dec 14, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Residence, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Brooklyn Center, MN
  • NPI 1629198965
  NPD (past)
• Rescare Minnesota, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn Center, MN
  • NPI 1104262336
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1033624952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 EARLE BROWN DR STE 100",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554304100",
            "telephone_number": "763-277-1020",
            "fax_number": "763-537-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 69TH AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291739",
            "telephone_number": "763-566-3650",
            "fax_number": "763-566-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUT",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalynna Santillan
• Mary Sauer, PHARM.D.
• Annamarie Savariego
• Brooklyn Ciara Saxton
• Hanna Marie Schaefer, LICSW
• Steven Robert Schell, DDS
• Melissa Ann Schellenberg
• Deborah Ann Schiessl, PTA
• Courtney Schmidt
• Steven Schnell, PHD

• Professional Counselor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.