Individual provider Active NPI

Monique Sims, LPC

  • Mental Health Counselor
  • Acworth, GA
National Provider Identifier
1346601499
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011097 Issued in GA
Practice address
1720 Mars Hill Rd NW Ste 8-154
Acworth, GA 30101-7127
Phone
(470) 377-2286
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC011097 GA Primary
Counselor 101Y00000X 6401014552 MI

Addresses

Primary practice location

1720 Mars Hill Rd NW Ste 8-154
Acworth, GA 30101-7127

Mailing address

1720 Mars Hill Rd NW Ste 8-154
Acworth, GA 30101-7127
Phone (313) 515-2500

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
6401014552MIMDCounselor
LPC011097GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step Therapeutic and Perinatal Mental Health Services Counselor CurrentSince Feb 21, 2021 Accepting new patients

Locations

1720 Mars Hill Rd NW
Ste 8154
Acworth, GA 30101
Phone (470) 377-2286

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": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1346601499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 8-154",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "313-515-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 8-154",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017127",
            "telephone_number": "470-377-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011097",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.