Healthcare Provider Details

I. General information

NPI: 1932047065
Provider Name (Legal Business Name): LAUREN SCHMIDT PSYCHOTHERAPY & CLINICAL CONSULTATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 W SUMMERDALE AVE APT 403
CHICAGO IL
60625-1164
US

IV. Provider business mailing address

2000 W SUMMERDALE AVE APT 403
CHICAGO IL
60625-1164
US

V. Phone/Fax

Practice location:
  • Phone: 847-612-5859
  • Fax:
Mailing address:
  • Phone: 847-612-5859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN SCHMIDT
Title or Position: OWNER
Credential: LCSW
Phone: 847-612-5859