Active NPI
Simon-Fields Counseling & Consultation
- Clinical Social Worker
- Long Beach, MS
National Provider Identifier
1366090888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Simon Fields, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.