Active NPI
Adelle Simpson, LMSW
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1396335659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MSW009815
- Practice address
- 1030 Fayetteville Rd SE
Atlanta, GA 30316-2921 - Phone
- (404) 486-9034
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MSW009815 | GA | Primary |
Addresses
Primary practice location
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Mailing address
2522 Flat Shoals Rd Apt B
Decatur, GA 30032-6244
Phone (706) 491-5186
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Chris180 | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| MSW009815 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1396335659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 FLAT SHOALS RD APT B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300326244",
"telephone_number": "706-491-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162921",
"telephone_number": "404-486-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "ADELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "MSW009815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Chris180",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1030 Fayetteville Rd SE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303162921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.