Individual provider Active NPI

Theresa M. Schmidt, CAC III

  • Addiction (Substance Use Disorder) Counselor
  • Lakewood, CO
National Provider Identifier
1336387380
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3077 Issued in CO
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

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
841343242MedicaidCO

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.

Verify at the official NPI Registry.