Individual provider Active NPI

Patricia Ann Simpson, LCSW

  • Mental Health Counselor
  • Hickory, PA
National Provider Identifier
1093870610
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW005217-L Issued in PA
Practice address
60 Main St
Hickory, PA 15340-1117
Phone
(724) 356-4449
Fax
(724) 356-4432
NPI assigned
Dec 26, 2006
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW005217-L PA Primary

Addresses

Primary practice location

60 Main St
Hickory, PA 15340-1117

Mailing address

PO Box 447
97 Main St.
Hickory, PA 15340-0447
Phone (724) 356-4449

Other identifiers 9

IdentifierTypeStateIssuer
01394395MedicaidPA
104398OtherUPMC
70452561OtherUNITED BEHAVIORAL HEALTH
46230OtherINTERGROUP
117688OtherVALUE BEHAVIORAL HEALTH
324423OtherMENTAL HEALTH NETWORK
7563290OtherAETNA
831951OtherHIGHMARK
250857000OtherMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120330000457 PA Practitioner - Clinical Social Worker 3072773977 Practice locations: Hickory, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 Main St
Hickory, PA 15340-1117
Phone (724) 356-4449

PO Box
Suite 447
Hickory, PA 15340-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW005217-LPAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a. Simpson, LCSW, BCD LLC PastSince Mar 8, 1996 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1093870610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "address_2": "97 MAIN ST.",
            "city": "HICKORY",
            "state": "PA",
            "postal_code": "153400447",
            "telephone_number": "724-356-4449",
            "fax_number": "724-356-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN ST",
            "city": "HICKORY",
            "state": "PA",
            "postal_code": "153401117",
            "telephone_number": "724-356-4449",
            "fax_number": "724-356-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW005217-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01394395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "104398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "70452561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "46230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "117688",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "324423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7563290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "831951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "250857000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, PA

Sources for this page

Verify at the official NPI Registry.