Individual provider Active NPI

Kortney Tatum Simpson

  • Professional Counselor
  • Hemet, CA
National Provider Identifier
1376418228
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1600 E Florida Ave Ste 206
Hemet, CA 92544-8638
Phone
(951) 652-8300
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1600 E Florida Ave Ste 206
Hemet, CA 92544-8638

Mailing address

24600 Big Country Dr
Menifee, CA 92584-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260323001759 CA Practitioner - Mental Health Counselor 2466936919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19322 Jesse LN
Suite 200
Riverside, CA 92508-5072

2730 Wrangler Cir
Corona, CA 92882-6809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reach the Valley CurrentSince Oct 12, 2025 Accepting new patients

Locations

1600 E Florida Ave
Ste 206
Hemet, CA 92544
Phone (951) 652-8300

Organizations & group practices 2

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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1376418228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 BIG COUNTRY DR",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925841303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE STE 206",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448638",
            "telephone_number": "951-652-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM SIMPSON",
        "first_name": "KORTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.