Provider Demographics
NPI:1013127158
Name:SCHMITZ, ASHLEY ANN (LPC, CSAC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANN
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:WEGENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 N FRANKLIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53074-1948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:262-338-9767
Practice Address - Street 1:127 N FRANKLIN ST STE 206
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:WI
Practice Address - Zip Code:53074-1948
Practice Address - Country:US
Practice Address - Phone:262-235-4385
Practice Address - Fax:414-310-0377
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15485-132101YA0400X
WI4313-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1013127158OtherNPI NUMBER
WI15485-132OtherCLINICAL SUBSTANCE ABUSE COUNSELOR
WI4313-125OtherLICENSED PROFESSIONAL COUNSELOR