Katie Ann Schaefer, LPC, RPT, NCC, NCSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005 Issued in MS

Practice address

202 Enterprise Dr
Oxford, MS 38655-2761

Phone

(833) 292-9355

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 16, 2025 through Mar 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1184221129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 GUN CLUB RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388010345",
            "telephone_number": "662-401-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ENTERPRISE DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552761",
            "telephone_number": "833-292-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "LPC, RPT, NCC, NCSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.occ.janeapp.com",
            "affiliation": "N",
            "address_1": "202 Enterprise Dr",
            "city": "Oxford",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386552761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sajan Sarker, DO
• Aleigha Saunders, BA
• Antonette Savage, BSW
• Scan This, LLC
• Mary Josephine Schadegg, MA
• Matthew Shaun Schielke, JD
• Michael Kim Schmit, PHD, LPC
• Annie Laura Schulenberg, LPC
• Kimberly Anne Schweigart, FNP-C
• Harvey Earl Scott, M.DIV., LCMHT

• Professional Counselor in Oxford, MS
• Providers in Oxford, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.