Individual provider Active NPI

Jillyan C Schmidt, MA, LIMHP, LPC

  • Mental Health Counselor
  • Geneva, NE
National Provider Identifier
1871031963
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2114 Issued in NE
Practice address
1900 F St
Geneva, NE 68361-2229
Phone
(402) 759-3192
Fax
(402) 759-3186
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11119 NE
Professional Counselor 101YP2500X 2462 NE
Mental Health Counselor 101YM0800X 2114 NE Primary

Addresses

Primary practice location

1900 F St
Geneva, NE 68361-2229

Mailing address

133 S 14TH St
Geneva, NE 68361-2108
Phone (402) 759-5404

Other practice location 1

133 S 14th St
Geneva, NE 68361-2108
Phone (402) 759-5404

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250121000715 NE Practitioner - Mental Health Counselor 9739612748 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11119NEMDMental Health Counselor
2114NEMDProfessional Counselor
2462NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital CurrentSince Dec 17, 2024 Accepting new patients
Fillmore County Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1871031963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S 14TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612108",
            "telephone_number": "402-759-5404",
            "fax_number": "402-759-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3192",
            "fax_number": "402-759-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NE",
            "postal_code": "683612108",
            "country_code": "US",
            "telephone_number": "402-759-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JILLYAN",
        "middle_name": "C",
        "credential": "MA, LIMHP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2462",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

Verify at the official NPI Registry.