Active NPI
Brenda Kay Schmidt, RN MA NCC LPC
- Mental Health Counselor
- Perryville, MO
National Provider Identifier
1184690422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2000167858
- Practice address
- 407 Tanglewood Dr
Perryville, MO 63775-9771 - Phone
- (573) 547-9963
- Fax
- (573) 547-3063
- NPI assigned
- Feb 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2000167858 | MO | Primary |
Addresses
Primary practice location
407 Tanglewood Dr
Perryville, MO 63775-9771
Mailing address
407 Tanglewood Dr
Perryville, MO 63775-9771
Phone (573) 547-9963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133441 | Other | MO | BLUECROSS/BLUE SHIELD |
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
- Credentials
- Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000167858 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184690422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 TANGLEWOOD DR",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637759771",
"telephone_number": "573-547-9963",
"fax_number": "573-547-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 TANGLEWOOD DR",
"city": "PERRYVILLE",
"state": "MO",
"postal_code": "637759771",
"telephone_number": "573-547-9963",
"fax_number": "573-547-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "BRENDA",
"middle_name": "KAY",
"credential": "RN MA NCC LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2000167858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUE SHIELD",
"identifier": "133441",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.