Individual provider Active NPI

Jessica Lyn Schmidt, MS, LMHC, NCC

  • Mental Health Counselor
  • Grinnell, IA
National Provider Identifier
1629324116
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001590 Issued in IA
Practice address
812 Commercial St
Grinnell, IA 50112-2143
Phone
(641) 236-0273
Fax
(641) 236-7969
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001590 IA Primary

Addresses

Primary practice location

812 Commercial St
Grinnell, IA 50112-2143

Mailing address

PO Box 617
Grinnell, IA 50112-0617
Phone (641) 236-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240402000305 IA Practitioner - Mental Health Counselor 4981041092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

629 W St S
Suite 100 200
Grinnell, IA 50112-8174
Phone (641) 236-0273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Homes Family Services, Inc Mental Health CurrentSince Feb 25, 2024 Accepting new patients

Locations

629 West St S
Ste 100200
Grinnell, IA 50112
Phone (641) 236-0273

812 Commercial St
Grinnell, IA 50112
Phone (641) 236-0273

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1629324116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120617",
            "telephone_number": "641-236-0273",
            "fax_number": "641-236-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 COMMERCIAL ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122143",
            "telephone_number": "641-236-0273",
            "fax_number": "641-236-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grinnell, IA

Sources for this page

Verify at the official NPI Registry.