Individual provider Active NPI

Scarlett Maria Schulz, LCPC, NCC

  • Professional Counselor
  • Quincy, IL
National Provider Identifier
1376079871
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180012516 Issued in IL
Practice address
1617 Ohio St
Quincy, IL 62301-5060
Phone
(618) 777-6670
NPI assigned
May 4, 2017
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180012516 IL Primary
Professional Counselor 101YP2500X 178.013040 IL

Addresses

Primary practice location

1617 Ohio St
Quincy, IL 62301-5060

Mailing address

1617 Ohio St
Quincy, IL 62301-5060
Phone (618) 777-6670

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
178.013040ILMDProfessional Counselor
180012516ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Water Air Counseling, LLC CurrentSince Aug 23, 2020 Accepting new patients

Locations

1161 Fortune Blvd
Ste 200
Shiloh, IL 62269
Phone (314) 804-1848

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1376079871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 OHIO ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015060",
            "telephone_number": "618-777-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 OHIO ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015060",
            "telephone_number": "618-777-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "SCARLETT",
        "middle_name": "MARIA",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012516",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.