Sara Nichole Schmalz, LPC-IT, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2508-226 Issued in WI

Practice address

19115 W Capitol Dr
Suite 117
Brookfield, WI 53045-2754

Phone

(262) 781-0240

NPI assigned

Jun 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Sara Nichole Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Corner, LLC

  • Primary Care Clinic/Center
  • Brookfield, WI
  • NPI 1598086928
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1457700478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12506 W PARK AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531512663",
            "telephone_number": "414-745-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19115 W CAPITOL DR",
            "address_2": "SUITE 117",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452754",
            "telephone_number": "262-781-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALZ",
        "first_name": "SARA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC-IT, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2508-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CAMPBELL",
            "middle_name": "NICHOLE",
            "prefix": "MISS",
            "credential": "LPC-IT, SAC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Schilder Chiropractic LLC
• Abigail Schiller
• Maddison Schlegel, PT, DPT, OCS
• Katherine Schliepp
• Lisa Schlieve
• Tonia Schmear, PTA
• Carly C Schmidt
• Daryl Schmidt
• Erin Schmidt
• Michael Schneider, MD

• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.