Healthcare Provider Details

I. General information

NPI: 1710257381
Provider Name (Legal Business Name): DANIELLE L. SCHMIDT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 ALLOUEZ AVE STE 3
GREEN BAY WI
54311-6267
US

IV. Provider business mailing address

1595 ALLOUEZ AVE. SUITE 3
GREEN BAY WI
54311-5636
US

V. Phone/Fax

Practice location:
  • Phone: 920-214-5844
  • Fax: 844-903-4616
Mailing address:
  • Phone: 920-214-5844
  • Fax: 844-903-4616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5080-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1074226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: