Individual provider Active NPI

Katie Schmidt, MA, LPC, CSW

  • Professional Counselor
  • Oshkosh, WI
National Provider Identifier
1396296570
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10912-125 Issued in WI
Practice address
220 Washington Ave
Oshkosh, WI 54901-5030
Phone
(920) 236-4700
NPI assigned
Oct 21, 2016
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 10912-125 WI Primary
Social Worker 104100000X 12892-120 WI

Addresses

Primary practice location

220 Washington Ave
Oshkosh, WI 54901-5030

Mailing address

W3553 Twin LN
Redgranite, WI 54970-7069
Phone (303) 915-2680

Other practice location 1

W3553 Twin Ln
Redgranite, WI 54970-7069
Phone (303) 915-2680

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260108003207 WI Practitioner - Mental Health Counselor 6103302252

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1646 Elmwood Ave
Oshkosh, WI 54901-2738

220 Washington Ave
Oshkosh, WI 54901-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10912-125WIMDProfessional Counselor
12892-120WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago County CurrentSince Nov 10, 2025 Accepting new patients
Wildcard Collective, LLC Social Worker CurrentSince Aug 17, 2025 Accepting new patients
County of Winnebago CurrentSince Nov 10, 2025 Accepting new patients
Illuminate Mental Health LLC PastSince Nov 3, 2024 Accepting new patients
Illuminate Mental Health and Wellness Group PastSince Sep 14, 2025 Accepting new patients

Locations

220 Washington Ave
Oshkosh, WI 54901
Phone (920) 236-4700

Organizations & group practices 5

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1396296570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3553 TWIN LN",
            "city": "REDGRANITE",
            "state": "WI",
            "postal_code": "549707069",
            "telephone_number": "303-915-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015030",
            "telephone_number": "920-236-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W3553 Twin Ln",
            "address_purpose": "LOCATION",
            "city": "Redgranite",
            "state": "WI",
            "postal_code": "549707069",
            "country_code": "US",
            "telephone_number": "303-915-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KATIE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10912-125",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "12892-120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.