Organization Active NPI

Beth B. Schmitt, Licsw, PC

  • Mental Health Counselor
  • Medford, MA
National Provider Identifier
1679770168
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104972 Issued in MA
Legal business name
BETH B. SCHMITT, LICSW, PC
Practice address
84 High St
Suite2A
Medford, MA 02155-3844
Phone
(781) 662-4890
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Beth B Schmitt, LICSWNPI 1801941448
Title
Owner
Phone
(781) 662-4890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 104972 MA Primary

Addresses

Primary practice location

84 High St
Suite2A
Medford, MA 02155-3844

Mailing address

84 High St
Suite2A
Medford, MA 02155-3844
Phone (781) 662-4890

Other identifiers 1

IdentifierTypeStateIssuer
P10239OtherMABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

84 High St
Ste 2A
Medford, MA 02155
Phone (781) 393-0009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1679770168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGH ST",
            "address_2": "SUITE2A",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553844",
            "telephone_number": "781-662-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGH ST",
            "address_2": "SUITE2A",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553844",
            "telephone_number": "781-662-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH B. SCHMITT, LICSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-662-4890",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "104972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P10239",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.