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NPI Code Detail

MEDICARE: MRS. JENNIFER BERNIECE SCHMIDT MA, LCPC

MEDICARE:  MRS. JENNIFER BERNIECE SCHMIDT  MA, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2000150520MO
2101YP2500XProfessional Counselor078KS

General Provider Information

NPI Number : 1194363127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER BERNIECE SCHMIDT MA, LCPC
Provider Business Mailing Address
First Line : 15858 W 158TH ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-6786
Country : US
Telephone Number : 913-593-6710
Fax Number :
Provider Business Practice Location Address
First Line : 9401 INDIAN CREEK PKWY STE 520
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-2013
Country : US
Telephone Number : 913-380-0737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2019
Last Update Date : 12/20/2019

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Directions to “ MRS. JENNIFER BERNIECE SCHMIDT MA, LCPC” Practice Location

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