Individual provider Active NPI

John Schmitt, LPCC

  • Professional Counselor
  • Mankato, MN
National Provider Identifier
1255926861
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02693 Issued in MN
Practice address
209 S 2ND St Ste 300
Mankato, MN 56001-3639
Phone
(320) 828-6485
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02693 MN Primary

Addresses

Primary practice location

209 S 2ND St Ste 300
Mankato, MN 56001-3639

Mailing address

209 S 2ND St Ste 300
Mankato, MN 56001-3639
Phone (888) 833-2859

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
I20240710004830 MN Practitioner - Mental Health Counselor 3971046673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Professional Services, P.a.Group PAC ID 9638102452, 9 clinicians

Practice addresses (Care Compare)

209 S 2ND St
Suite 300
Mankato, MN 56001-3639
Phone (888) 833-2859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Core Professional Services, P.a. CurrentSince Apr 27, 2024 Accepting new patients

Locations

617 Oak St
Brainerd, MN 56401
Phone (218) 829-7140

209 S 2nd St
Ste 300
Mankato, MN 56001
Phone (507) 828-9635

110 14th Ave E
Sartell, MN 56377
Phone (320) 202-1400

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1255926861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "888-833-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 2ND ST STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013639",
            "telephone_number": "320-828-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "JOHN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.