Active NPI
Dawn Denise Schulze, PSY.D. LPCC
- Professional Counselor
- Duluth, MN
National Provider Identifier
1295296564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC02433
- Practice address
- 332 W Superior St Ste 300
Duluth, MN 55802-1844 - Phone
- (218) 722-4379
- Fax
- (218) 722-4333
- NPI assigned
- Mar 28, 2019
- Last updated
- May 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4241-125 | WI | |
| Professional Counselor | 101YP2500X | CC02433 | MN | Primary |
Addresses
Primary practice location
332 W Superior St Ste 300
Duluth, MN 55802-1844
Mailing address
3918 Fairview Rd
Duluth, MN 55803-2708
Phone (218) 393-7270
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8500 Normandale Lake Blvd
Suite 350
Bloomington, MN 55437-3805
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC02433 | MN | MD | Professional Counselor |
| 4241-125 | WI | MD | Professional Counselor |
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.
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- NPI 1659003457
MN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1295296564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3918 FAIRVIEW RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558032708",
"telephone_number": "218-393-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 W SUPERIOR ST STE 300",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021844",
"telephone_number": "218-722-4379",
"fax_number": "218-722-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZE",
"first_name": "DAWN",
"middle_name": "DENISE",
"credential": "PSY.D. LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4241-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC02433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.