Individual provider Active NPI

Angela Eva Schmidt, M.S.

  • Mental Health Counselor
  • Oshkosh, WI
National Provider Identifier
1437465283
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5077-125 Issued in WI
Practice address
404 N Main St
Suite 507
Oshkosh, WI 54901-4957
Phone
(414) 315-9323
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 544226 WI
Mental Health Counselor 101YM0800X 5077-125 WI Primary

Addresses

Primary practice location

404 N Main St
Suite 507
Oshkosh, WI 54901-4957

Mailing address

521 Otter Ave
Oshkosh, WI 54901-5103
Phone (414) 315-9323

Other identifiers 1

IdentifierTypeStateIssuer
100013367MedicaidWI

Other names 1

  • Miss Angela Eva Miller Former name

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
I20240312001314 WI Practitioner - Mental Health Counselor 4385080480 Practice locations: Oshkosh, WI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5077-125WIMDMental Health Counselor
544226WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Your Place Counseling Services Mental Health Past Accepting new patients

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1437465283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 OTTER AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549015103",
            "telephone_number": "414-315-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "address_2": "SUITE 507",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014957",
            "telephone_number": "414-315-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ANGELA",
        "middle_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "544226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5077-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013367",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MILLER",
            "middle_name": "EVA",
            "prefix": "MISS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.