Individual provider Active NPI

Samantha Anne Schmidt

  • Mental Health Counselor
  • Kearney, NE
National Provider Identifier
1730805839
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13191 Issued in NE
Practice address
2002 Central Ave
Kearney, NE 68847-5302
Phone
(308) 627-4743
Fax
(308) 224-3711
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13191 NE
Mental Health Counselor 101YM0800X 13191 NE Primary

Addresses

Primary practice location

2002 Central Ave
Kearney, NE 68847-5302

Mailing address

2002 Central Ave
Kearney, NE 68847-5302
Phone (308) 627-4743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13191NEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Counseling & Associates, LLC Mental Health CurrentSince Feb 12, 2023 Accepting new patients
Monty Shultz Counseling & Neurofeedback LLC Mental Health CurrentSince Oct 23, 2022 Accepting new patients

Locations

2002 Central Ave
Kearney, NE 68847
Phone (308) 627-4743

Organizations & group practices 2

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1730805839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475302",
            "telephone_number": "308-627-4743",
            "fax_number": "308-224-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475302",
            "telephone_number": "308-627-4743",
            "fax_number": "308-224-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "13191",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.