Individual provider Active NPI

Mark Schmoyer

  • Mental Health Counselor
  • Otsego, MN
National Provider Identifier
1366964645
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2029 Issued in MN
Practice address
9000 Quantrelle Ave NE
Otsego, MN 55330-0139
Phone
(763) 633-3800
NPI assigned
Jul 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2029 MN Primary

Addresses

Primary practice location

9000 Quantrelle Ave NE
Otsego, MN 55330-0139

Mailing address

11246 69TH St NE
Albertville, MN 55301-4576
Phone (267) 897-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20260203002753 MN Practitioner - Mental Health Counselor 8527546225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Family CounselingGroup PAC ID 8426576109, 3 clinicians

Practice addresses (Care Compare)

106 Central Ave E
Saint Michael, MN 55376-9511
Phone (763) 220-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
2029MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Counseling Single Specialty CurrentSince Dec 24, 2025 Accepting new patients

Locations

209 5th St NE
Ste 3
Buffalo, MN 55313
Phone (763) 220-2312

106 Central Ave E
Saint Michael, MN 55376
Phone (763) 220-2312

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1366964645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 69TH ST NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014576",
            "telephone_number": "267-897-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 QUANTRELLE AVE NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553300139",
            "telephone_number": "763-633-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMOYER",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-09",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

Verify at the official NPI Registry.