Active NPI
Amy D. Simons, M.ED
- Professional Counselor
- Augusta, GA
National Provider Identifier
1053533943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005178
- Practice address
- 3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550 - Phone
- (706) 364-0252
- Fax
- (706) 364-0264
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NA | ||
| Professional Counselor | 101YP2500X | 005178 | GA | Primary |
Addresses
Primary practice location
3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550
Mailing address
3633 Wheeler Rd Ste 100
Augusta, GA 30909-6550
Phone (706) 364-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005178 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1053533943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 WHEELER RD STE 100",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096550",
"telephone_number": "706-364-0252",
"fax_number": "706-364-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 WHEELER RD STE 100",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096550",
"telephone_number": "706-364-0252",
"fax_number": "706-364-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "AMY",
"middle_name": "D.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NA",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "005178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.