=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942513056
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESSICA LYNN SCHROEDER MS, LCMFT, LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2010
-----------------------------------------------------
Last Update Date | 03/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 S 5TH ST STE 22
-----------------------------------------------------
City | LEAVENWORTH
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66048-2602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-579-3557
-----------------------------------------------------
Fax | 913-273-6818
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8303 MAPLEFIELD WAY
-----------------------------------------------------
City | WESTON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54476-9301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-579-3557
-----------------------------------------------------
Fax | 913-273-6818
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | LCMFT 821
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 2022050158
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------