Organization Active NPI

Karissa Schmoll Counseling, LLC

  • Community/Behavioral Health Agency
  • Moorhead, MN
National Provider Identifier
1558731083
Registry record updated Sep 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1947 Issued in MN
Legal business name
KARISSA SCHMOLL COUNSELING, LLC
Practice address
1100 32ND Ave S
Moorhead, MN 56560-5012
Phone
(701) 212-3469
NPI assigned
Sep 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2015

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

Authorized official

Name
Karissa Lynn Schmoll, LMFT
Title
Marriage and Family Therapist
Phone
(701) 212-3469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1947 MN Primary

Addresses

Primary practice location

1100 32ND Ave S
Moorhead, MN 56560-5012

Mailing address

1100 32ND Ave S
Moorhead, MN 56560-5012
Phone (701) 212-3469

National Provider Directory

National Provider Directory

Locations

1100 32nd Ave S
Moorhead, MN 56560
Phone (218) 512-1144

NPI Registry JSON

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1558731083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 32ND AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605012",
            "telephone_number": "701-212-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 32ND AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605012",
            "telephone_number": "701-212-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARISSA SCHMOLL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHMOLL",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "701-212-3469",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.