Individual provider Active NPI

Holly Renee Schmidt, LIMHP CPC

  • Mental Health Counselor
  • Ravenna, NE
National Provider Identifier
1962694497
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2228 Issued in NE
Practice address
524 Verona Ave
Ravenna, NE 68869-1242
Phone
(308) 440-3119
NPI assigned
Aug 17, 2007
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2228 NE Primary
Professional Counselor 101YP2500X 2533 NE

Addresses

Primary practice location

524 Verona Ave
Ravenna, NE 68869-1242

Mailing address

524 Verona Ave
Ravenna, NE 68869-1242
Phone (308) 440-3119

Other practice location 1

1020 W 2nd St
Grand Island, NE 68801-5822
Phone (308) 398-4662

Other practice location 2

514 W 11th St
Kearney, NE 68845-7336
Phone (308) 440-3119

Other identifiers 1

IdentifierTypeStateIssuer
47077467428MedicaidNE

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
I20250813003347 NE Practitioner - Mental Health Counselor 5698273019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Mental Health Clinic LLCGroup PAC ID 5395984371, 4 clinicians

Practice addresses (Care Compare)

3615 2ND Ave
Suite a
Kearney, NE 68847-8115
Phone (308) 233-3847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2228NEMDPhysical Therapist
2533NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Green Wave Counseling and Wellness Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Serene Mental Health Clinic LLC CurrentSince Jun 7, 2025 Accepting new patients
Compass Mental Health CurrentSince Apr 25, 2021 Accepting new patients
Serene Mental Health Clinic LLC CurrentSince Jun 7, 2025 Accepting new patients
Visinet, Inc. Past Accepting new patients
Centrepointe Counseling, Inc. Past Accepting new patients
Coram Deo Counseling, LLC Past Accepting new patients
Visinet Inc. Past Accepting new patients

Locations

3615 2nd Ave
Ste A
Kearney, NE 68847
Phone (308) 233-3847

514 W 11th St
Kearney, NE 68845
Phone (308) 237-4085

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1962694497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 VERONA AVE",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "688691242",
            "telephone_number": "308-440-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 VERONA AVE",
            "city": "RAVENNA",
            "state": "NE",
            "postal_code": "688691242",
            "telephone_number": "308-440-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688015822",
            "country_code": "US",
            "telephone_number": "308-398-4662",
            "fax_number": "308-398-4665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 W 11th St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688457336",
            "country_code": "US",
            "telephone_number": "308-440-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LIMHP CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2228",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077467428",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, NE

Sources for this page

Verify at the official NPI Registry.