Active NPI
Jennifer Marie Simpson, LPC
- Professional Counselor
- Peoria, AZ
National Provider Identifier
1386302230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18687
- Practice address
- 9802 W Peoria Ave
Peoria, AZ 85345-6110 - Phone
- (623) 986-8459
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC-18687 | AZ | |
| Professional Counselor | 101YP2500X | LPC-18687 | AZ | Primary |
Addresses
Primary practice location
9802 W Peoria Ave
Peoria, AZ 85345-6110
Mailing address
11224 N 49TH Dr
Glendale, AZ 85304-4002
Phone (602) 793-2478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-18687 | Other | AZ | BBHAZ LICENSED PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsimpson@sanitycenter.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-18687 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1386302230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11224 N 49TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853044002",
"telephone_number": "602-793-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9802 W PEORIA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456110",
"telephone_number": "623-986-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LPC-18687",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-18687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBHAZ LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC-18687",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsimpson@sanitycenter.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9802 W Peoria Ave",
"city": "Peoria",
"state": "AZ",
"country_code": "US",
"postal_code": "853456110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.