MEDICARE: MIKE SCHUETTER LPC

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
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor	178.014227	IL
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	178.014227	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336703370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKE SCHUETTER LPC

Provider Business Mailing Address
First Line	:	2601 W MARQUETTE RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-1817
Country	:	US
Telephone Number	:	773-349-8046
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 UNIVERSITY HILLS BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75241-1219
Country	:	US
Telephone Number	:	214-941-3500
Fax Number	:	214-389-1084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2019
Last Update Date	:	12/28/2023

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Directions to “ MIKE SCHUETTER LPC” Practice Location

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