Organization Active NPI

Simply Counseling, LLC

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1265798102
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0701003974 Issued in VA
Legal business name
SIMPLY COUNSELING, LLC
Practice address
10500 Wakeman Dr Ste 240
Fredericksburg, VA 22407-8012
Phone
(540) 479-2404
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Nicole L Anderson, PSYD
Title
Owner
Phone
(540) 419-0229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0701003974 VA Primary

Addresses

Primary practice location

10500 Wakeman Dr Ste 240
Fredericksburg, VA 22407-8012

Mailing address

10500 Wakeman Dr Ste 240
Fredericksburg, VA 22407-8012
Phone (540) 479-2404

National Provider Directory

National Provider Directory

Locations

10500 Wakeman Dr
Ste 240
Fredericksburg, VA 22407
Phone (540) 479-2404

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1265798102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 240",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078012",
            "telephone_number": "540-479-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 WAKEMAN DR STE 240",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078012",
            "telephone_number": "540-479-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-419-0229",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0701003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.