Jennifer Marie Schmidt, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-00517 Issued in IL

Practice address

4751 Manhattan Dr
Manhattan Counseling Center
Rockford, IL 61108-2264

Phone

(815) 720-4960

Fax

(815) 720-4970

NPI assigned

Nov 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Janet Wattles Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1558327544
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508945064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W STATE STREET",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011214",
            "telephone_number": "815-968-9300",
            "fax_number": "815-968-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 MANHATTAN DR",
            "address_2": "MANHATTAN COUNSELING CENTER",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082264",
            "telephone_number": "815-720-4960",
            "fax_number": "815-720-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-00517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Schimetz, MA, CCC-SLP/L
• Kayla Schimetz, MS, RD, LDN
• Beth A Schleicher, MD
• David J Schleicher, MD
• Katherine Anne Schlesinger, APN
• Kim Schmidt, NP
• Pamela A. Schmidt, D.D.S.
• Roger Charles Schmidt, D.D.S
• Mark John Schneider, MD
• Steven L Schneider, MD

• Mental Health Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.