Active NPI
Kristen Mary Schmidt-Shay, LICSW
- Clinical Social Worker
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14824
- Practice address
- 9531 W 78TH St Ste 220
Eden Prairie, MN 55344-3863 - Phone
- (952) 395-3290
- Fax
- (952) 214-7490
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14824 | MN | Primary |
Addresses
Primary practice location
9531 W 78TH St Ste 220
Eden Prairie, MN 55344-3863
Mailing address
9531 W 78TH St Ste 220
Eden Prairie, MN 55344-3863
Phone (952) 395-3290
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3100 W Lake St
Suite 210
Minneapolis, MN 55416-4597
Phone (612) 925-6033
9531 W 78TH St
Suite 220
Eden Prairie, MN 55344-3810
Phone (953) 932-3290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becoming Together Therapy and Wellness LLC | Clinical | Current | Accepting new patients |
Locations
9531 W 78th St
Ste 220
Eden Prairie, MN 55344
Phone (952) 395-3290
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Eden Prairie, MN
- NPI 1285740217
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1588741292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1740362300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9531 W 78TH ST STE 220",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443863",
"telephone_number": "952-395-3290",
"fax_number": "952-214-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9531 W 78TH ST STE 220",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443863",
"telephone_number": "952-395-3290",
"fax_number": "952-214-7490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT-SHAY",
"first_name": "KRISTEN",
"middle_name": "MARY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "14824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.