Active NPI
Elizabeth Jane Simeone, M.A. LPC, LMFT
- Professional Counselor
- Myrtle Beach, SC
National Provider Identifier
1275786766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SC3313
- Practice address
- 831 82ND Pkwy
Myrtle Beach, SC 29572 - Phone
- (843) 651-1830
- Fax
- (843) 449-2333
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | SC3313 | SC | Primary |
| Marriage & Family Therapist | 106H00000X | SC3544 | SC |
Addresses
Primary practice location
831 82ND Pkwy
Myrtle Beach, SC 29572
Mailing address
831 82ND Pkwy
Myrtle Beach, SC 29572
Phone (843) 651-1830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Aug 22, 2024 through Aug 22, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC3313 | SC | MD | Professional Counselor |
| SC3544 | SC | MD | Marriage & Family Therapist |
| 3544 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1275786766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "843-651-1830",
"fax_number": "843-449-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 82ND PKWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29572",
"telephone_number": "843-651-1830",
"fax_number": "843-449-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEONE",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "M.A. LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "SC3313",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "SC3544",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.