Active NPI
Amy Bendorf Schertz, MS LMFT
- Marriage & Family Therapist
- Baraboo, WI
National Provider Identifier
1780634295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 622124
- Practice address
- 1002 Lincoln Ave
Baraboo, WI 53913-1808 - Phone
- (608) 356-9055
- Fax
- (608) 356-5447
- NPI assigned
- May 12, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 622124 | WI | Primary |
Addresses
Primary practice location
1002 Lincoln Ave
Baraboo, WI 53913-1808
Mailing address
1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43581500 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780634295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 LINCOLN AVE",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131808",
"telephone_number": "608-356-9055",
"fax_number": "608-356-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 LINCOLN AVE",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131808",
"telephone_number": "608-356-9055",
"fax_number": "608-356-5447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERTZ",
"first_name": "AMY",
"middle_name": "BENDORF",
"credential": "MS LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "622124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43581500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.