Provider Demographics
NPI:1811217748
Name:SCHMIDT COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:SCHMIDT COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC, LADC
Authorized Official - Phone:952-583-1055
Mailing Address - Street 1:8646 EAGLE CREEK CIR STE 213
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-1574
Mailing Address - Country:US
Mailing Address - Phone:952-583-1055
Mailing Address - Fax:612-437-4463
Practice Address - Street 1:8646 EAGLE CREEK CIR STE 213
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-1574
Practice Address - Country:US
Practice Address - Phone:952-583-1055
Practice Address - Fax:952-465-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1811217748Medicaid