Provider Demographics
NPI:1780082883
Name:KARI J SCHMIDT, LPC, NCC, RPT-S
Entity type:Organization
Organization Name:KARI J SCHMIDT, LPC, NCC, RPT-S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PLAY THERAPIST-SUPERVISO
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:JESSICA
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, RPT-S
Authorized Official - Phone:734-761-6343
Mailing Address - Street 1:1785 W STADIUM BLVD STE 201B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5285
Mailing Address - Country:US
Mailing Address - Phone:734-761-6343
Mailing Address - Fax:
Practice Address - Street 1:1785 W STADIUM BLVD STE 201B
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5285
Practice Address - Country:US
Practice Address - Phone:734-761-6343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008157251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health