Individual provider Active NPI

Donald Allen Schroeder, LPC

  • Professional Counselor
  • Saint Robert, MO
National Provider Identifier
1588092100
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021039488 Issued in MO
Practice address
144 Ridgeview Dr
Saint Robert, MO 65584-8614
Phone
(912) 312-3457
NPI assigned
Oct 16, 2013
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
490104605MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240515000616 MO Practitioner - Mental Health Counselor 5890136675 Reassigns benefits to 1 organization
I20250415002063 FL Practitioner - Mental Health Counselor 5890136675 Reassigns benefits to 1 organization
I20250502001593 GA Practitioner - Mental Health Counselor 5890136675 Practice locations: Waycross, GA

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

LicenseStateTypeSpecialty
79676TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
5Cor Behavioral Health Services Limited Mental Health CurrentSince Mar 13, 2024 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

Verify at the official NPI Registry.