Organization Active NPI

Sim Fayola Foundation

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1063251262
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SIM FAYOLA FOUNDATION
Practice address
12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374
Phone
(720) 968-1395
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Dedrick Sims, PH.D
Title
Ceo/Founder
Phone
(720) 968-1395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374

Mailing address

12500 E Iliff Ave Ste 200
Aurora, CO 80014-1374
Phone (720) 968-1395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1063251262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141374",
            "telephone_number": "720-968-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 E ILIFF AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141374",
            "telephone_number": "720-968-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIM FAYOLA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DEDRICK",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "720-968-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.