Individual provider Active NPI

Jimena Del Carpio Schroeder, M.ED., PHD

  • Mental Health Counselor
  • Fargo, ND
National Provider Identifier
1467164384
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1031-10-1-19 Issued in ND
Practice address
1330 Page Dr S Ste 101
Fargo, ND 58103-3551
Phone
(701) 300-8879
NPI assigned
Dec 22, 2022
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1031-10-1-19 ND Primary

Addresses

Primary practice location

1330 Page Dr S Ste 101
Fargo, ND 58103-3551

Mailing address

1330 Page Dr S Ste 101
Fargo, ND 58103-3551
Phone (701) 300-8879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240815003165 ND Practitioner - Mental Health Counselor 2062950413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 Page Dr S
Suite 101
Fargo, ND 58103-3551
Phone (701) 300-8879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bestow Counseling Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Ashley Kasson Therapy PLLC Mental Health PastSince Dec 1, 2022 Accepting new patients

Locations

1330 Page Dr S
Ste 101
Fargo, ND 58103
Phone (701) 300-8879

Organizations & group practices 2

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": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1467164384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "701-300-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PAGE DR S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033551",
            "telephone_number": "701-300-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JIMENA",
        "middle_name": "DEL CARPIO",
        "credential": "M.ED., PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "1031-10-1-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.