Active NPI
Ryedenna Marie Simon - McQueen, LPC
- Counselor
- Florence, SC
National Provider Identifier
1285923383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6364
- Practice address
- 360 N Irby St
Florence, SC 29501-2808 - Phone
- (843) 667-9414
- Fax
- (843) 667-1362
- NPI assigned
- Mar 30, 2011
- Last updated
- Feb 11, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6364 | SC | Primary |
Addresses
Primary practice location
360 N Irby St
Florence, SC 29501-2808
Mailing address
360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5042 | Other | SC | LPC - LICENSURE |
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 |
|---|---|---|---|
| 6364 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1285923383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012808",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012808",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON - MCQUEEN",
"first_name": "RYEDENNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "6364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC - LICENSURE",
"identifier": "5042",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.