Crystal Marie Sims, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16394-132 Issued in WY

Practice address

1610 Miller Park Way
Milwaukee, WI 53214-3604

Phone

(414) 672-3801

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1033751599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 S 65TH ST APT 15",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202539",
            "telephone_number": "414-587-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MILLER PARK WAY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532143604",
            "telephone_number": "414-672-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 S 65th St Apt 15",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532202539",
            "country_code": "US",
            "telephone_number": "414-587-6183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 S 65th St Apt 15",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532202539",
            "country_code": "US",
            "telephone_number": "414-587-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "16394-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharese Simpson, RN
• Sims & Sons Contracting LLC
• Dimitria Earlean Sims-Brenwall, APSW
• Carolyn Sims, MSW
• Catina Rena Sims
• Desiree Sims, PMHNP
• Devin Morae Sims
• Joynieshia T Sims
• Latoya M Sims, S A C
• Rhonda Sims

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.