Healthcare Provider Details

I. General information

NPI: 1871031963
Provider Name (Legal Business Name): JILLYAN C SCHMIDT MA, LIMHP, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 F ST
GENEVA NE
68361-2229
US

IV. Provider business mailing address

133 S 14TH ST
GENEVA NE
68361-2108
US

V. Phone/Fax

Practice location:
  • Phone: 402-759-3192
  • Fax: 402-759-3186
Mailing address:
  • Phone: 402-759-5404
  • Fax: 402-759-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11119
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2462
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2114
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: