Individual provider Active NPI

Lisa R Schmidt, MS, LPC, CN

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1871932012
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0199991212 Issued in AZ
Practice address
9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone
(480) 675-4568
Fax
(480) 907-1963
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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 20358 AZ
Nutrition Education Nutritionist 133NN1002X
Mental Health Counselor 101YM0800X 0199991212 AZ Primary

Addresses

Primary practice location

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986

Mailing address

9375 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6986
Phone (480) 675-4568

Other identifiers 2

IdentifierTypeStateIssuer
20358OtherAZSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE LPC
NU60495044OtherWACERTIFIED NUTRITIONIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240104000065 AZ Practitioner - Mental Health Counselor 4789035718 Practice locations: Scottsdale, AZ
I20241205002368 IA Practitioner - Mental Health Counselor 4789035718 Practice locations: Iowa City, IA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 E Court St
Iowa City, IA 52240-4911
Phone (319) 853-8645

332 S Linn St
Suite 27
Iowa City, IA 52240-1697

9375 E Shea Blvd
Suite 100
Scottsdale, AZ 85260-6986
Phone (480) 675-4568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
0199991212AZMDMental Health Counselor
20358AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Schmidt Counseling LLC CurrentSince Sep 1, 2019 Accepting new patients
Mindful Wellness and Nutrition LLC. CurrentSince Mar 28, 2021 Accepting new patients

Locations

8040 E Morgan Trl
Ste 7
Scottsdale, AZ 85258
Phone (480) 675-4568

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1871932012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "480-675-4568",
            "fax_number": "480-907-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606986",
            "telephone_number": "480-675-4568",
            "fax_number": "480-907-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2021-12-31",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "20358",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "0199991212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE LPC",
            "identifier": "20358",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NUTRITIONIST",
            "identifier": "NU60495044",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.