Michelle A Boyd Schroeder, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I 0600153 Issued in OH

Practice address

1659 S Breiel Blvd
Middletown, OH 45044-6705

Phone

(513) 424-0921

Fax

(513) 424-4810

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407911290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 S BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446705",
            "telephone_number": "513-424-0921",
            "fax_number": "513-424-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 S BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446705",
            "telephone_number": "513-424-0921",
            "fax_number": "513-424-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD SCHROEDER",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I 0600153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC0713",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000075718",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Bowling
• Bryan Bowman, RPH
• Charles Ray Bowman II, NURSE LPN
• Charles Ray Bowman III, AIDE
• Julie Elizabeth Bowman, NON-AIDE
• Brycen Boyle
• Jazmyn Bradley
• Daniel Brady, LPN
• Rosalita Brady
• Sheila K. Brady, M.D.

• Mental Health Counselor in Middletown, OH
• Providers in Middletown, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.