MEDICARE: CLAUDIA SCHMIDT IKONOMOPOULOS MS, 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	101YM0800X	Mental Health Counselor	69286	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699199828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA SCHMIDT IKONOMOPOULOS MS, LPC

Provider Business Mailing Address
First Line	:	PO BOX 181459
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78480-1459
Country	:	US
Telephone Number	:	361-739-1679
Fax Number	:	361-239-4286

Provider Business Practice Location Address
First Line	:	5934 S STAPLES ST STE 230
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-3800
Country	:	US
Telephone Number	:	361-739-1679
Fax Number	:	361-239-4286

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

Provider Enumeration Date	:	02/07/2014
Last Update Date	:	03/26/2026

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