Coltan James Schoenike

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

500 12TH Ave W Apt 30
Menomonie, WI 54751-2445

Phone

(920) 658-3183

NPI assigned

May 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edges Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1306389861

  WI

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366065757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W APT 30",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W APT 30",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512445",
            "telephone_number": "920-658-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENIKE",
        "first_name": "COLTAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "procentive.com",
            "affiliation": "Y",
            "endpointDescription": "Procentive",
            "affiliationName": "Peace Tree Counseling LLC",
            "address_1": "108 Chieftain Street",
            "address_2": "Suite B",
            "city": "Osceola",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540200816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Schlichtig, D.D.S.
• Robert David Schmieg, CRNA
• Jonathan Donald Schmitz, MS CCC SLP
• Noah Schober
• Daniel Allen Schoen, PHARMD
• School District of the Menomonie Area
• Christopher M Schrantz, P.T.
• Dawne Schreiner-Sutton, CSAC
• Margea Lynn Schultz, MSSW
• Anthony Michael Schumacher, PHARMD

• Marriage & Family Therapist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.