Individual provider Active NPI

Emily Kay Carbone Schmidt, MA, LPCC

  • Professional Counselor
  • Newport, MN
National Provider Identifier
1598313223
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02168
Practice address
303 21St St
Suite 232
Newport, MN 55055-1094
Phone
(651) 560-0050
Fax
(651) 925-0257
NPI assigned
Aug 27, 2019
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02168 Primary
Professional Counselor 101YP2500X LPCC2168 MN

Addresses

Primary practice location

303 21St St
Suite 232
Newport, MN 55055-1094

Mailing address

303 21St St
Suite 232
Newport, MN 55055-1094
Phone (651) 560-0050

Other names 1

  • Emily Kay Weatherford Carbone Former name

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
I20240403002357 MN Practitioner - Mental Health Counselor 1759729288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC2168MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Threads of Hope Counseling, LLC Professional CurrentSince Feb 20, 2024 Accepting new patients

Locations

303 21st St
Ste 232
Newport, MN 55055
Phone (612) 346-0458

3460 Washington Dr
Ste 109
Saint Paul, MN 55122
Phone (612) 440-2678

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1598313223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 21ST ST",
            "address_2": "SUITE 232",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551094",
            "telephone_number": "651-560-0050",
            "fax_number": "651-925-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 21ST ST",
            "address_2": "SUITE 232",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551094",
            "telephone_number": "651-560-0050",
            "fax_number": "651-925-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "EMILY",
        "middle_name": "KAY CARBONE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "CC02168",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPCC2168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CARBONE",
            "middle_name": "KAY WEATHERFORD",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, MN

Sources for this page

Verify at the official NPI Registry.