Individual provider Active NPI

Amy Lee Johns Simons, LIMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1386010627
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1820 Issued in NE
Practice address
13911 Gold Cir Ste 240
Omaha, NE 68144-2376
Phone
(402) 807-5576
Fax
(531) 999-2356
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1820 NE Primary

Addresses

Primary practice location

13911 Gold Cir Ste 240
Omaha, NE 68144-2376

Mailing address

13911 Gold Cir Ste 240
Omaha, NE 68144-2376
Phone (402) 807-5576

Other identifiers 2

IdentifierTypeStateIssuer
1386010627OtherNENPI
10026652400MedicaidNE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240808002097 NE Practitioner - Mental Health Counselor 6800333808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13911 Gold Cir
Suite 240
Omaha, NE 68144-2376
Phone (402) 807-5576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1820NEMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Simons Therapy Mental Health CurrentSince May 31, 2024 Accepting new patients

Locations

13911 Gold Cir
Ste 240
Omaha, NE 68144
Phone (402) 686-3168

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1386010627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-807-5576",
            "fax_number": "531-999-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 GOLD CIR STE 240",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442376",
            "telephone_number": "402-807-5576",
            "fax_number": "531-999-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "AMY",
        "middle_name": "LEE JOHNS",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386010627",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026652400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.