1003122185 NPI number — TERRI SCHMITZ COUNSELING

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003122185 NPI number — TERRI SCHMITZ COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TERRI SCHMITZ COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003122185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 E. 4TH ST.
Provider Second Line Business Mailing Address:
PO BOX 1842
Provider Business Mailing Address City Name:
PITTSBURG
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66762-1842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-231-2700
Provider Business Mailing Address Fax Number:
620-231-0841

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 E 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURG
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66762-8573
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-231-2700
Provider Business Practice Location Address Fax Number:
620-231-0841
Provider Enumeration Date:
08/26/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMITZ
Authorized Official First Name:
CECELIA
Authorized Official Middle Name:
THERESA
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
620-231-2700

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  771 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200639860A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com