Provider Demographics
NPI:1801082284
Name:SCHMID, JASON R (LMHP, LPC)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:R
Last Name:SCHMID
Suffix:
Gender:M
Credentials:LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 S 33RD ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5755
Mailing Address - Country:US
Mailing Address - Phone:402-435-4700
Mailing Address - Fax:402-435-4701
Practice Address - Street 1:3201 S 33RD ST
Practice Address - Street 2:SUITE C
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5755
Practice Address - Country:US
Practice Address - Phone:402-435-4700
Practice Address - Fax:402-435-4701
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1878101YP2500X
NE3776101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025559500Medicaid