Organization Active NPI

Simon-Fields Counseling & Consultation

  • Clinical Social Worker
  • Long Beach, MS
National Provider Identifier
1366090888
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SIMON-FIELDS COUNSELING & CONSULTATION
Practice address
4011 Beatline Rd Ste 9
Long Beach, MS 39560-4135
Phone
(228) 332-0224
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Angela Simon Fields, LCSWNPI 1154338291
Title
Owner/ Provider
Phone
(228) 332-0224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4011 Beatline Rd Ste 9
Long Beach, MS 39560-4135

Mailing address

4 Hartford PL
Gulfport, MS 39507-2241
Phone (228) 332-0224

National Provider Directory

National Provider Directory

Locations

4011 Beatline Rd
Ste 9
Long Beach, MS 39560
Phone (228) 332-0224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1366090888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTFORD PL",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072241",
            "telephone_number": "228-332-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 9",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604135",
            "telephone_number": "228-332-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON-FIELDS COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "228-332-0224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.