Healthcare Provider Details

I. General information

NPI: 1467193078
Provider Name (Legal Business Name): KEVIN SCHMITT LLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2127 UNIVERSITY PARK DR STE 300
OKEMOS MI
48864-5928
US

IV. Provider business mailing address

7338 TALBOT DR APT 201
LANSING MI
48917-8929
US

V. Phone/Fax

Practice location:
  • Phone: 989-292-1405
  • Fax:
Mailing address:
  • Phone: 989-292-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401225714
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: