Provider Demographics
NPI:1962725531
Name:JANEL M SCHMIDT INC
Entity type:Organization
Organization Name:JANEL M SCHMIDT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC-MH
Authorized Official - Phone:605-274-1119
Mailing Address - Street 1:6810 S LYNCREST AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-2522
Mailing Address - Country:US
Mailing Address - Phone:605-274-1119
Mailing Address - Fax:605-271-8893
Practice Address - Street 1:6810 S LYNCREST AVE
Practice Address - Street 2:STE 201
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2522
Practice Address - Country:US
Practice Address - Phone:605-274-1119
Practice Address - Fax:605-271-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6576630Medicaid