Headwaters Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEADWATERS FAMILY CHIROPRACTIC LLC

Practice address

556 STH-155
St. Germain, WI 54558-0151

Phone

(715) 542-1042

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. McKenzie Marie Schmidt, DCNPI 1457209785

Title

Chiropractor

Phone

(262) 416-2377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• McKenzie Marie Schmidt, DC

  • Chiropractor
  • Saint Germain, WI
  • NPI 1457209785
  NPD (past) Authorized official

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1831095157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "SAINT GERMAIN",
            "state": "WI",
            "postal_code": "545580151",
            "telephone_number": "715-542-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 STH-155",
            "city": "ST. GERMAIN",
            "state": "WI",
            "postal_code": "545580151",
            "telephone_number": "715-542-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-416-2377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Joseph Borak, D.C.
• Marian V. Carlson, L.P.N.
• Ridge Hokens, DPT
• Impact Counseling Services, LLC (ICS-Family Partners)
• William Gunther Mallon, CRNA
• New Horizons Counseling and Family Services, LLC
• Newcap, Inc.

• Chiropractor in Saint Germain, WI
• Providers in Saint Germain, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.