Active NPI
Victoria Schmidt, LMSW
- Mental Health Counselor
- Clio, MI
National Provider Identifier
1801011341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801083562
- Practice address
- 740 Center St
Clio, MI 48420-1148 - Phone
- (810) 686-7313
- Fax
- (810) 686-7315
- NPI assigned
- Apr 17, 2007
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801083562 | MI | Primary |
Addresses
Primary practice location
740 Center St
Clio, MI 48420-1148
Mailing address
10081 Bray Rd
Millington, MI 48746-9524
Phone (586) 944-9733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818000105 | MI | Practitioner - Clinical Social Worker | 4385778935 | Practice locations: Clio, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Counseling, PLLC | Current | Accepting new patients |
Locations
740 Center St
Clio, MI 48420
Phone (810) 686-7313
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clio, MI
- NPI 1033672084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1801011341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10081 BRAY RD",
"city": "MILLINGTON",
"state": "MI",
"postal_code": "487469524",
"telephone_number": "586-944-9733",
"fax_number": "810-686-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 CENTER ST",
"city": "CLIO",
"state": "MI",
"postal_code": "484201148",
"telephone_number": "810-686-7313",
"fax_number": "810-686-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "VICTORIA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801083562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.