Individual ProviderSarah SchmidtkeCounselorBehavioral Health & Social Service ProvidersPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138(219) 477-5646PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Schmidtke is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1023266624Provider TypeIndividualFull NameSchmidtke, SarahCredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date9/8/2008Last Updated10/24/2024Contact InformationPractice LocationPractice Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Mailing LocationMailing Address2004 Valparaiso St, Valparaiso, IN 46383-3138Phone(219) 477-5646Fax(219) 728-4765Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense39002295AIndianaProvider IdentifiersIDDescriptionIssuerID300048265DescriptionMedicaidIssuerUnlistedIndiana