Active NPI
Sara M Simpson, LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1184655607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14534
- Practice address
- 1011 W 31St St
Suite 515
Austin, TX 78705 - Phone
- (512) 302-4788
- Fax
- (512) 458-4569
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14534 | TX | Primary |
Addresses
Primary practice location
1011 W 31St St
Suite 515
Austin, TX 78705
Mailing address
1011 W 31St St
Suite 515
Austin, TX 78705
Phone (512) 302-4788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP0036413 | Medicaid | TX | |
| 3654LC | Other | BLUE CROSS |
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 |
|---|---|---|---|
| 14534 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184655607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W 31ST ST",
"address_2": "SUITE 515",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-302-4788",
"fax_number": "512-458-4569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W 31ST ST",
"address_2": "SUITE 515",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "512-302-4788",
"fax_number": "512-458-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "SARA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LP0036413",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3654LC",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.