Individual provider Active NPI

Jean Claude Sime

  • Mental Health Counselor
  • Fort Myers, FL
National Provider Identifier
1104380989
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3049 Cleveland Ave Ste 290
Fort Myers, FL 33901-7054
Phone
(954) 502-6752
NPI assigned
Jan 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 Primary

Addresses

Primary practice location

3049 Cleveland Ave Ste 290
Fort Myers, FL 33901-7054

Mailing address

4758 Lambeth CT
Lehigh Acres, FL 33973-6072

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

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1104380989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 LAMBETH CT",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339736072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE STE 290",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017054",
            "telephone_number": "954-502-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIME",
        "first_name": "JEAN CLAUDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.