Individual provider Active NPI

Gretchen Lee Schuchard, LMSW

  • Counselor
  • Bismark, ND
National Provider Identifier
1043949548
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4754 Issued in ND
Practice address
1308 Elbowoods Lane
Bismark, ND 58503
Phone
(701) 751-8260
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4754NDMDFamily Medicine Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4754 ND Primary
Social Worker 104100000X 4754 ND

Addresses

NPPES NPI Registry

Primary practice location

1308 Elbowoods Lane
Bismark, ND 58503

Mailing address

1308 Elbowoods Lane
Bismark, ND 58503-5712
Phone (701) 751-8260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2024.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1043949548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOODS LANE",
            "city": "BISMARK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "701-751-8260",
            "fax_number": "701-751-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOODS LANE",
            "city": "BISMARK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-751-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUCHARD",
        "first_name": "GRETCHEN",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ND",
            "license": "4754",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismark, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.