Healthcare Provider Details

I. General information

NPI: 1114400694
Provider Name (Legal Business Name): KRISTIN SCHMIDT LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S BEDFORD ST STE 7
MADISON WI
53703-3695
US

IV. Provider business mailing address

301 S BEDFORD ST STE 7
MADISON WI
53703-3695
US

V. Phone/Fax

Practice location:
  • Phone: 608-313-4060
  • Fax: 608-999-7339
Mailing address:
  • Phone: 608-313-4060
  • Fax: 608-999-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6340-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number15-361
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: