Individual provider Active NPI

Kerri Schmidt, LPC

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1700272929
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5618-125 Issued in WI
Practice address
916 Willard Drive
Suite #136
Green Bay, WI 54304-6223
Phone
(920) 328-0717
Fax
(920) 328-0715
NPI assigned
Apr 14, 2015
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5618-125 WI Primary

Addresses

Primary practice location

916 Willard Drive
Suite #136
Green Bay, WI 54304-6223

Mailing address

916 Willard Drive
Suite #136
Green Bay, WI 54304-6223
Phone (920) 328-0717

Other identifiers 2

IdentifierTypeStateIssuer
13528225OtherWICAQH
100073858MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20251001001455 WI Practitioner - Mental Health Counselor 6507174067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Hope Counseling LLCGroup PAC ID 9335645134, 2 clinicians

Practice addresses (Care Compare)

926 Willard Dr
Suite 242
Green Bay, WI 54304-5071
Phone (920) 328-0717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5618-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Hope Counseling LLC CurrentSince Mar 26, 2025 Accepting new patients

Locations

916 Willard Dr
Ste 136
Green Bay, WI 54304
Phone (920) 328-0717

926 Willard Dr
Ste 242
Green Bay, WI 54304
Phone (920) 328-0717

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1700272929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 WILLARD DRIVE",
            "address_2": "SUITE #136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543046223",
            "telephone_number": "920-328-0717",
            "fax_number": "920-328-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WILLARD DRIVE",
            "address_2": "SUITE #136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543046223",
            "telephone_number": "920-328-0717",
            "fax_number": "920-328-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KERRI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5618-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13528225",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073858",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.