Individual provider Active NPI

Ramanda Simonic, PSY.D., LCPC, CADC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1306237367
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008753 Issued in IL
Practice address
12 W Cass St
Joliet, IL 60432-4116
Phone
(815) 727-2830
Fax
(815) 727-4039
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.008753 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 30510 IL
Mental Health Counselor 101YM0800X 180.008753 IL
Professional Counselor 101YP2500X 180.008753 IL Primary
Marriage & Family Therapist 106H00000X 180-008753 IL

Addresses

Primary practice location

12 W Cass St
Joliet, IL 60432-4116

Mailing address

12 W Cass St
Joliet, IL 60432-4116
Phone (815) 727-2830

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

LicenseStateTypeSpecialty
30510ILMDAddiction (Substance Use Disorder) Counselor
180.008753ILMDProfessional Counselor
180-008753ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Solutions GSJ, Inc. Counselor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1306237367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324116",
            "telephone_number": "815-727-2830",
            "fax_number": "815-727-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W CASS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324116",
            "telephone_number": "815-727-2830",
            "fax_number": "815-727-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONIC",
        "first_name": "RAMANDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.008753",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30510",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008753",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008753",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "180-008753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.