Active NPI
Jenna Marie Schmidt, MS, NCC
- Professional Counselor
- Alexandria, MN
National Provider Identifier
1811633456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 305 30TH Ave W
Alexandria, MN 56308-3429 - Phone
- (320) 460-8028
- Fax
- (320) 460-8029
- NPI assigned
- May 6, 2022
- Last updated
- May 6, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MN | Primary |
Addresses
Primary practice location
305 30TH Ave W
Alexandria, MN 56308-3429
Mailing address
4830 Smith Lake Rd SE
Osakis, MN 56360-8061
Phone (320) 808-4190
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240113000824 | MN | Practitioner - Mental Health Counselor | 8325490444 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3760 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1811633456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 SMITH LAKE RD SE",
"city": "OSAKIS",
"state": "MN",
"postal_code": "563608061",
"telephone_number": "320-808-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 30TH AVE W",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083429",
"telephone_number": "320-460-8028",
"fax_number": "320-460-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "MS, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-06",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.