John Douglas Sims III, PLADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

P-2034 Issued in NE

Practice address

9623 M St
Omaha, NE 68127-2007

Phone

(531) 999-6004

NPI assigned

Jul 24, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Effective Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1679253777
  Medicare reassignment NPD Authorized official
• Northpoint Nebraska LLC

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1023692159
  NPD (past)

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1326728429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 M ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272007",
            "telephone_number": "531-999-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8710 Frederick St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243061",
            "country_code": "US",
            "telephone_number": "531-201-6890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 Ontario St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681243574",
            "country_code": "US",
            "telephone_number": "531-999-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S 31st Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681311404",
            "country_code": "US",
            "telephone_number": "402-847-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 541213",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681549213",
            "country_code": "US",
            "telephone_number": "402-609-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JOHN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PLADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Sims-Miller, R.N.
• Analicia Sims
• Barbara Ann Sims, REGISTERED NURSE
• Breann Sims, MSN, APRN, FNP-C
• Heather Sims
• Kylie Sims, DDS
• Yolanda Sims
• Sincere Healthcare LLC
• Sara Jane Sinclair, NP-C
• Flaviana Sindani, CNA/CMA

• Addiction (Substance Use Disorder) Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.