Individual provider Active NPI

Tracy A Schmidt, LPCC, LADC

  • Mental Health Counselor
  • Savage, MN
National Provider Identifier
1174858617
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC00151 Issued in MN
Practice address
8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574
Phone
(952) 210-1779
Fax
(612) 437-4463
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 300169 MN
Mental Health Counselor 101YM0800X CC00151 MN Primary

Addresses

Primary practice location

8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574

Mailing address

8646 Eagle Creek Circle
Suite #213
Savage, MN 55378-1574
Phone (952) 210-1779

Other practice location 1

8170 Old Carriage Ct
Suite 214
Shakopee, MN 55379-3163
Phone (952) 210-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808004279 MN Practitioner - Mental Health Counselor 9032478706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Schmidt Counseling Services IncGroup PAC ID 0042579716, 2 clinicians

Practice addresses (Care Compare)

8646 Eagle Creek Cir
Suite 213
Savage, MN 55378-1574
Phone (952) 583-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC00151MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Schmidt Counseling Services, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

8646 Eagle Creek Cir
Ste 213
Savage, MN 55378
Phone (952) 210-1779

8170 Old Carriage Ct
Ste 214
Shakopee, MN 55379
Phone (952) 210-1779

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1174858617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIRCLE",
            "address_2": "SUITE #213",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781574",
            "telephone_number": "952-210-1779",
            "fax_number": "612-437-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIR STE 213",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781574",
            "telephone_number": "952-210-1779",
            "fax_number": "612-437-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Old Carriage Ct",
            "address_2": "Suite 214",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553793163",
            "country_code": "US",
            "telephone_number": "952-210-1779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300169",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

Verify at the official NPI Registry.