Active NPI
Theresa M. Schmidt, CAC III
- Addiction (Substance Use Disorder) Counselor
- Lakewood, CO
National Provider Identifier
1336387380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3077
- Practice address
- 2557 S Dover St
Unit-69
Lakewood, CO 80227-3149 - Phone
- (303) 436-5706
- Fax
- (303) 436-5071
- NPI assigned
- Jan 29, 2009
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3077 | CO | Primary |
Addresses
Primary practice location
2557 S Dover St
Unit-69
Lakewood, CO 80227-3149
Mailing address
2557 S Dover St
Unit-69
Lakewood, CO 80227-3149
Phone (303) 436-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841343242 | Medicaid | CO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1336387380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2557 S DOVER ST",
"address_2": "UNIT-69",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273149",
"telephone_number": "303-436-5706",
"fax_number": "303-436-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2557 S DOVER ST",
"address_2": "UNIT-69",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273149",
"telephone_number": "303-436-5706",
"fax_number": "303-436-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "THERESA",
"middle_name": "M.",
"credential": "CAC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "3077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "841343242",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.