Active NPI
Gina A Simon, LPCMH
- Counselor
- Dover, DE
National Provider Identifier
1083992895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC-0000552
- Practice address
- 121 W Loockerman St
Dover, DE 19904-7325 - Phone
- (302) 674-1397
- Fax
- (302) 674-1602
- NPI assigned
- Jul 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC-0000552 | DE | Primary |
Addresses
Primary practice location
121 W Loockerman St
Dover, DE 19904-7325
Mailing address
121 W. Lookerman St
Dover, DE 19901
Phone (302) 674-1397
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000552 | DE | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1083992895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W. LOOKERMAN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "302-674-1397",
"fax_number": "302-674-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W LOOCKERMAN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199047325",
"telephone_number": "302-674-1397",
"fax_number": "302-674-1602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "GINA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LPCMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DE",
"license": "PC-0000552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.