Healthcare Provider Details

I. General information

NPI: 1184027997
Provider Name (Legal Business Name): LAUREN SCHMIDT MA, ATR, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 SW 4TH ST
GRESHAM OR
97080-5209
US

IV. Provider business mailing address

581 SW 4TH ST
GRESHAM OR
97080-5209
US

V. Phone/Fax

Practice location:
  • Phone: 312-315-3376
  • Fax:
Mailing address:
  • Phone: 503-564-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC3621
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: