Provider Demographics
NPI:1114400694
Name:SCHMIDT, KRISTIN (LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S BEDFORD ST STE 7
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3695
Mailing Address - Country:US
Mailing Address - Phone:608-313-4060
Mailing Address - Fax:608-999-7339
Practice Address - Street 1:301 S BEDFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3695
Practice Address - Country:US
Practice Address - Phone:608-313-4060
Practice Address - Fax:608-999-7339
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15-361221700000X
WI6340-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist