Active NPI
Megan N Sims
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1396392783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2310 W Roosevelt Rd
Chicago, IL 60608-1131 - Phone
- (312) 620-0906
- NPI assigned
- Aug 21, 2019
- 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 | Primary |
Addresses
Primary practice location
2310 W Roosevelt Rd
Chicago, IL 60608-1131
Mailing address
400 E 33Rd St Apt 1005
Chicago, IL 60616-4224
Phone (773) 803-6334
Other practice location 1
1100 S May St
Chicago, IL 60607-4229
Phone (312) 492-1390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 362170821-059 | Medicaid | IL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Archdiocese of Chicago | Current | Accepting new patients |
Locations
2310 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 566-4528
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669583001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1396392783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 33RD ST APT 1005",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164224",
"telephone_number": "773-803-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 W ROOSEVELT RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081131",
"telephone_number": "312-620-0906"
}
],
"practiceLocations": [
{
"address_1": "1100 S May St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606074229",
"country_code": "US",
"telephone_number": "312-492-1390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "MEGAN",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "362170821-059",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.