Active NPI
Donald Allen Schroeder, LPC
- Professional Counselor
- Saint Robert, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2021039488
- Practice address
- 144 Ridgeview Dr
Saint Robert, MO 65584-8614 - Phone
- (912) 312-3457
- NPI assigned
- Oct 16, 2013
- Last updated
- Jun 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC003666 | GA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 79676 | TX | |
| Mental Health Counselor | 101YM0800X | LPC003666 | GA | |
| Professional Counselor | 101YP2500X | 79676 | TX | |
| Professional Counselor | 101YP2500X | 2021039488 | MO | Primary |
| Professional Counselor | 101YP2500X | LPC003666 | GA |
Addresses
Primary practice location
144 Ridgeview Dr
Saint Robert, MO 65584-8614
Mailing address
144 Ridgeview Dr
Saint Robert, MO 65584-8614
Phone (912) 312-3457
Other practice location 1
95 E Plum St
Hazlehurst, GA 31539-6772
Phone (912) 312-9632
Other practice location 2
119 Ichord Ave
Waynesville, MO 65583-5401
Phone (912) 312-9632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490104605 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 Ichord Ave
Waynesville, MO 65583-5401
Phone (912) 312-9632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79676 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5Cor Behavioral Health Services Limited | Mental Health | Current | Accepting new patients |
Locations
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616
119 Ichord Ave
Waynesville, MO 65583
Phone (901) 359-9017
6601 Cypresswood Dr
Ste 102
Spring, TX 77379
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, 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": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1588092100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 RIDGEVIEW DR",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655848614",
"telephone_number": "912-312-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 RIDGEVIEW DR",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655848614",
"telephone_number": "912-312-3457"
}
],
"practiceLocations": [
{
"address_1": "95 E Plum St",
"address_purpose": "LOCATION",
"city": "Hazlehurst",
"state": "GA",
"postal_code": "315396772",
"country_code": "US",
"telephone_number": "912-312-9632",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Ichord Ave",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655835401",
"country_code": "US",
"telephone_number": "912-312-9632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "DONALD",
"middle_name": "ALLEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC003666",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "79676",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC003666",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79676",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2021039488",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003666",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490104605",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Robert, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.