Active NPI
Michael Simms
- Professional Counselor
- Burlington, NC
National Provider Identifier
1184630246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5346
- Practice address
- 915 S Main St
Burlington, NC 27215-5756 - Phone
- (336) 229-5905
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5346 | NC | Primary |
Addresses
Primary practice location
915 S Main St
Burlington, NC 27215-5756
Mailing address
3012 Darden Rd Apt a
Greensboro, NC 27407-6834
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 |
|---|---|---|---|
| 5346 | NC | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rha Health Services, Inc | Past | Accepting new patients | |
| Carolina Behavioral Care, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Apex, NC
- NPI 1932821303
-
- Community/Behavioral Health Agency
- Yanceyville, NC
- NPI 1629489307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1184630246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 DARDEN RD APT A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274076834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 S MAIN ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155756",
"telephone_number": "336-229-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.