MEDICARE: DANIELLE L. SCHMIDT 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	1074226	WI
2	101YM0800X	Mental Health Counselor	5080-125	WI

General Provider Information

NPI Number	:	1710257381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE L. SCHMIDT LPC

Provider Business Mailing Address
First Line	:	1595 ALLOUEZ AVE. SUITE 3
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-5636
Country	:	US
Telephone Number	:	920-214-5844
Fax Number	:	844-903-4616

Provider Business Practice Location Address
First Line	:	1595 ALLOUEZ AVE. SUITE 3
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54311-5636
Country	:	US
Telephone Number	:	920-214-5844
Fax Number	:	844-903-4616

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

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	03/27/2026

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