Active NPI
Jillyan C Schmidt, MA, LIMHP, LPC
- Mental Health Counselor
- Geneva, NE
National Provider Identifier
1871031963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11119 | NE | MD | Mental Health Counselor |
| 2114 | NE | MD | Professional Counselor |
| 2462 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fillmore County Hospital | Current | Accepting new patients | |
| Fillmore County Hospital | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.