Individual provider Active NPI

Meredith Lynne Simonds

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1013747575
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17566 Issued in CA
Practice address
PO Box 973
Los Angeles, CA 90078-0973
Phone
(323) 348-1678
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17566 CA Primary

Addresses

Primary practice location

PO Box 973
Los Angeles, CA 90078-0973

Mailing address

PO Box 973
Los Angeles, CA 90078-0973
Phone (323) 348-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910001906 CA Practitioner - Mental Health Counselor 8820591563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 Pinelawn Rd
Suite 204N
Melville, NY 11747-3163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17566CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services of California, PC CurrentSince Aug 27, 2025 Accepting new patients
Darrell Broaddus Psychological Services PC Past Accepting new patients

Locations

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

25535 Hawthorne Blvd
Torrance, CA 90505

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1013747575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900780973",
            "telephone_number": "323-348-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900780973",
            "telephone_number": "323-348-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "MEREDITH",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "17566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.