Individual provider Active NPI

Rebecca Lee Schmitt

  • Professional Counselor
  • Paynesville, MN
National Provider Identifier
1578337663
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
04113 Issued in MN
Practice address
200 Stearns Ave
Paynesville, MN 56362-1210
Phone
(320) 979-1411
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 04113 MN Primary

Addresses

Primary practice location

200 Stearns Ave
Paynesville, MN 56362-1210

Mailing address

51625 Csah 20
Paynesville, MN 56362
Phone (952) 270-5826

Other practice location 1

1300 Willmar Ave SE
Willmar, MN 56201-4737
Phone (320) 979-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240412001726 MN Practitioner - Mental Health Counselor 5698114494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifeseasons Professional Counseling,LLCGroup PAC ID 1658478524, 3 clinicians

Practice addresses (Care Compare)

200 Stearns Ave
Paynesville, MN 56362-1210
Phone (320) 235-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04113MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeseasons Professional Counseling,LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

200 Stearns Ave
Paynesville, MN 56362
Phone (320) 235-4900

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": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1578337663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51625 CSAH 20",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "56362",
            "telephone_number": "952-270-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STEARNS AVE",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621210",
            "telephone_number": "320-979-1411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Willmar Ave SE",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562014737",
            "country_code": "US",
            "telephone_number": "320-979-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "04113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paynesville, MN

Sources for this page

Verify at the official NPI Registry.