Organization Active NPI

Simply Candid Counseling Services, PLLC

  • Professional Counselor
  • Arlington, TX
National Provider Identifier
1124644638
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SIMPLY CANDID COUNSELING SERVICES, PLLC
Practice address
3901 Arlington Highlands Blvd Ste 200280
Arlington, TX 76018-6036
Phone
(202) 991-0766
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Authorized official

Name
Ms. Sigrid Nikkea Jones, LPCSNPI 1174828537
Title
Owner
Phone
(202) 991-0766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3901 Arlington Highlands Blvd Ste 200280
Arlington, TX 76018-6036

Mailing address

7515 Novella Dr
Fort Worth, TX 76134-4318
Phone (202) 991-0766

Other identifiers 1

IdentifierTypeStateIssuer
290574707MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260330000914 TX Part B Supplier - Clinic/Group Practice 6406331321 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

3901 Arlington Highlands Blvd
Ste 200280
Arlington, TX 76018
Phone (202) 991-0766

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1124644638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 NOVELLA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344318",
            "telephone_number": "202-991-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD STE 200280",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186036",
            "telephone_number": "202-991-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CANDID COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_middle_name": "NIKKEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-991-0766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290574707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.