Phoenix Xavier Schmitz, L.I.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18121 Issued in MN

Practice address

4123 E Lake St
Minneapolis, MN 55406-2255

Phone

(612) 728-2061

Fax

(612) 728-2061

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Mental Health PLCGroup PAC ID 6608921663, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Mental Health, P.L.C.

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1831329564
  Medicare reassignment Care Compare group NPD
• Minneapolis Nature-Based Therapy

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1437817582
  Medicare reassignment NPD
• Rosemary Frazel LLC

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1629597570
  NPD
• Midtown Management LTD

  dba Northland Therapy Center

  • Psychologist
  • Saint Paul, MN
  • NPI 1568585420
  NPD (past)
• Firefly Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OR
  • NPI 1326482563
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841484458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062255",
            "telephone_number": "612-728-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062255",
            "telephone_number": "612-728-2061",
            "fax_number": "612-728-2061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 NE Belknap Ct",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245113",
            "country_code": "US",
            "telephone_number": "503-560-5822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 NE Belknap Ct",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245113",
            "country_code": "US",
            "telephone_number": "503-560-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "PHOENIX",
        "middle_name": "XAVIER",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 20272",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6834",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60622688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Rossbach Schmitz, MD
• Laura L Schmitz, MD
• Mary Kay Schmitz, LICSW
• Michael Fukasawa Schmitz, PSYD, LP
• Nicole Shea Schmitz, PNP- BC
• Susan Schmitz, DNP-CERTIFIED
• Megan Schmoll, CCC-SLP
• Abigail Marie Schnaith, MD
• Sarah L Schnarr, MPT
• Michael Joseph Schnaus Jr., M.D.

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.