Simone D Springfield, CADC
Individual provider Active NPI Mental Health Counselor · Breckenridge Hills, MO
NPI 1265130256 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1265130256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 13977 (MO)
- Practice address
- 9733 Saint Charles Rock Rd
Breckenridge Hills, MO 63114-2625 - Phone
- (314) 423-7030
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13977 | MO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13977 | MO | Yes |
Addresses
Primary practice location
9733 Saint Charles Rock Rd
Breckenridge Hills, MO 63114-2625
Mailing address
9733 Saint Charles Rock Rd
Breckenridge Hills, MO 63114-2625
Phone (314) 423-7030
Other providers in Breckenridge Hills, MO
All providers in Breckenridge Hills, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.