Tricia Schmidt, LCMHCA
Individual provider Active NPI Counselor · Landis, NC
NPI 1326408790 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1326408790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A15591 (NC)
- Practice address
- 112 N Central Ave
Landis, NC 28088-1445 - Phone
- (704) 741-0456
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cotswold Clinician Support Services
Practice addresses (Care Compare)
447 S Sharon Amity Rd
Suite 250
Charlotte, NC 28211-2850
Phone (704) 503-8196
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228001293 | NC | Practitioner - Mental Health Counselor | 1052761392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15591 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotswold Clinician Support Services | Counselor | Current |
Accepting new patients |
| Johnson Counseling and Family Services, PLLC | Mental Health | Current |
Accepting new patients |
Locations
447 S Sharon Amity Rd
Ste 250
Charlotte, NC 28211
Phone (704) 264-2973
3315 Springbank Ln
Ste 300
Charlotte, NC 28226
Phone (704) 503-8196
112 N Central Ave
Landis, NC 28088
Phone (704) 741-0456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | A15591 | NC | Yes |
Addresses
Primary practice location
112 N Central Ave
Landis, NC 28088-1445
Mailing address
9504 Stoney Glen Dr Apt P
Mint Hill, NC 28227-0463
Phone (303) 731-7649
Other providers in Landis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.