Healthcare Provider Details
I. General information
NPI: 1942513056
Provider Name (Legal Business Name): JESSICA LYNN SCHROEDER MS, LCMFT, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/17/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 S 5TH ST STE 22
LEAVENWORTH KS
66048-2602
US
IV. Provider business mailing address
8303 MAPLEFIELD WAY
WESTON WI
54476-9301
US
V. Phone/Fax
- Phone: 913-579-3557
- Fax: 913-273-6818
- Phone: 913-579-3557
- Fax: 913-273-6818
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | LCMFT 821 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 2022050158 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: