Active NPI
Simply Counseling, LLC
- Clinical Psychologist
- Fredericksburg, VA
National Provider Identifier
1265798102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0701003974
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.