Active NPI
Nicole Simonson, LPC, NCC
- Counselor
- Flowood, MS
National Provider Identifier
1326467929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1872
- Practice address
- 3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8049 - Phone
- (601) 420-5410
- NPI assigned
- Apr 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1872 | MS | Primary |
Addresses
Primary practice location
3531 Lakeland Dr
Suite 1060
Flowood, MS 39232-8049
Mailing address
3531 Lakeland Drive
Suite 1060
Flowood, MS 39232
Phone (601) 420-5810
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 |
|---|---|---|---|
| 1872 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1326467929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 LAKELAND DRIVE",
"address_2": "SUITE 1060",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-420-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 LAKELAND DR",
"address_2": "SUITE 1060",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328049",
"telephone_number": "601-420-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "NICOLE",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "1872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.