Provider Demographics
NPI:1285980938
Name:SCHMIDT, ASHLEY S B (LPC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:S B
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:S
Other - Last Name:BEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4287 FIVE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4214
Mailing Address - Country:US
Mailing Address - Phone:517-882-4000
Mailing Address - Fax:
Practice Address - Street 1:4572 S HAGADORN RD STE 1C
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-5385
Practice Address - Country:US
Practice Address - Phone:517-481-2133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013065101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor