AMANDA SCHMIDT (LPCC, LADC) – Mental Health Counselor, NPI 1366079014

AMANDA SCHMIDT (LPCC, LADC) is a healthcare provider. based in Blaine, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LADC. They hold a License No. 305542 (MN). The NPI Number for AMANDA SCHMIDT (LPCC, LADC) is 1366079014

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA SCHMIDT (LPCC, LADC)
NPI
1366079014
Phone
(763) 343-9010
Address
10729 TOWN SQUARE DR NE STE A
Enumeration Date
24 March 2020
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634829598
Graduation Year
2016 (10 years ago)
PAC ID
0244680213
Group Practice PAC ID
0941661482
Professional Enrollment ID
I20240103002526
Address ID
MN553044259AN1875XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for AMANDA SCHMIDT (LPCC, LADC)

  • 10729 TOWN SQUARE DR NE STE A

    BLAINE, MN 554497923

    Phone: (763) 343-9010

    Fax: (763) 343-9011

    Type: Mailing

  • 1875 STATION PKWY NW

    ANDOVER, MN 553043319

    Phone: (763) 482-9598

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240103002526IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941661482View full group profile
NameSpecialtyState
Mental Health CounselorNE
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What unique ID ties claims to AMANDA SCHMIDT (LPCC, LADC)?
NPI 1366079014 is assigned to AMANDA SCHMIDT (LPCC, LADC) under the national enumeration system.
Is AMANDA SCHMIDT (LPCC, LADC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize AMANDA SCHMIDT (LPCC, LADC)'s specialty in plain language?
Clinically, the directory lists AMANDA SCHMIDT (LPCC, LADC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does AMANDA SCHMIDT (LPCC, LADC) practice in Minnesota?
You will see Blaine, Minnesota on file for AMANDA SCHMIDT (LPCC, LADC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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