MEDICARE: RAEGAN LYNN SCHULTE

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	127767	IA

General Provider Information

NPI Number	:	1932063955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAEGAN LYNN SCHULTE

Provider Business Mailing Address
First Line	:	14604 165TH ST
Second Line	:
City	:	SPERRY
State	:	IA
Zip	:	52650-9603
Country	:	US
Telephone Number	:	319-208-9648
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 N 4TH ST
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-5255
Country	:	US
Telephone Number	:	319-208-9648
Fax Number	:

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

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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