Provider Demographics
NPI:1306241864
Name:SCHMIDT, JAMES ALLAN (LIMHP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLAN
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:LIMHP
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LIMHP
Mailing Address - Street 1:11807 Q ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-3503
Mailing Address - Country:US
Mailing Address - Phone:531-867-3223
Mailing Address - Fax:
Practice Address - Street 1:11807 Q ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3503
Practice Address - Country:US
Practice Address - Phone:513-867-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2684101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor