Stacey L Siminski, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094386 Issued in MI

Practice address

585 Jewett Rd
Mason, MI 48854-8729

Phone

(517) 676-5405

Fax

(517) 676-5460

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapy Today Counseling and Consulting, LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1629322003
  Medicare reassignment NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1033454947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 FLUSHING RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044534",
            "telephone_number": "810-424-5998",
            "fax_number": "810-424-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 JEWETT RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488548729",
            "telephone_number": "517-676-5405",
            "fax_number": "517-676-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMINSKI",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Counseling Services and Therapeutic Martial Arts LLC
• Charissa Sue Shadduck, MS RD
• Elizabeth Paige Shafer, PT, DPT
• David Edward Shellenbarger, LPC
• Marissa Sherouse
• Richard J. Sims, O.D.
• Rodney Stephen Skinner, LPC
• Crystal Slabough
• Chelsie Smith, PT, DPT
• George F. Smith, MD

• Social Worker in Mason, MI
• Providers in Mason, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.