Organization Active NPI

Schmidt Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Savage, MN
National Provider Identifier
1811217748
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SCHMIDT COUNSELING SERVICES, INC.
Practice address
8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574
Phone
(952) 583-1055
Fax
(952) 465-3901
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Authorized official

Name
Tracy Schmidt, MA, LPCC, LADCNPI 1174858617
Title
Owner
Phone
(952) 583-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574

Mailing address

8646 Eagle Creek Cir Ste 213
Savage, MN 55378-1574
Phone (952) 583-1055

Other identifiers 1

IdentifierTypeStateIssuer
1811217748MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125003098 MN Part B Supplier - Clinic/Group Practice 0042579716 Receives reassigned benefits from 3 practitioners
Practice locations: Savage, MN

National Provider Directory

National Provider Directory

Locations

8646 Eagle Creek Cir
Ste 213
Savage, MN 55378
Phone (952) 210-1779

8170 Old Carriage Ct
Ste 214
Shakopee, MN 55379
Phone (952) 210-1779

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691280000000",
    "number": "1811217748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIR STE 213",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781574",
            "telephone_number": "952-583-1055",
            "fax_number": "612-437-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8646 EAGLE CREEK CIR STE 213",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781574",
            "telephone_number": "952-583-1055",
            "fax_number": "952-465-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHMIDT COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-583-1055",
        "authorized_official_credential": "MA, LPCC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811217748",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.