Individual provider Active NPI

Mike Schuetter, LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1336703370
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5300 University Hills Blvd
Dallas, TX 75241-1219
Phone
(214) 941-3500
Fax
(214) 389-1084
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
178.014227ILMDMental Health Counselor

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Mental Health Counselor 101YM0800X 178.014227 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 178.014227 IL

Addresses

NPPES NPI Registry

Primary practice location

5300 University Hills Blvd
Dallas, TX 75241-1219

Mailing address

2601 W Marquette Rd
Chicago, IL 60629-1817
Phone (773) 349-8046

Other practice location 1

721 N Lasalle St
Chicago, IL 60654
Phone (773) 349-8046

Other practice location 2

2601 W Marquette Rd
Chicago, IL 60629-1817
Phone (773) 349-8046

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
140739484MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2023.

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1336703370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W MARQUETTE RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291817",
            "telephone_number": "773-349-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 UNIVERSITY HILLS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411219",
            "telephone_number": "214-941-3500",
            "fax_number": "214-389-1084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 N Lasalle St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "773-349-8046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Marquette Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606291817",
            "country_code": "US",
            "telephone_number": "773-349-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUETTER",
        "first_name": "MIKE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014227",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "178.014227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140739484",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.