Individual provider Active NPI

Paige Simon, EDD, LPC, NCC, ACS

  • Professional Counselor
  • Ridgeland, SC
National Provider Identifier
1407391337
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
014822 Issued in GA
Practice address
77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266
Phone
(843) 645-7700
Fax
(888) 908-7339
NPI assigned
Jan 2, 2017
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 014822 GA
Professional Counselor 101YP2500X 014822 GA Primary

Addresses

Primary practice location

77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266

Mailing address

77 Hazzard Creek VLG Unit C
Ridgeland, SC 29936-8266
Phone (843) 645-7700

Other practice location 1

1025 Powers Pl
Alpharetta, GA 30009-8356
Phone (855) 284-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250226003704 GA Practitioner - Mental Health Counselor 0941720460 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014822GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Wright Directions, LLC Professional CurrentSince Sep 3, 2025 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Wright Directions, LLC Mental Health CurrentSince Jul 9, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (213) 378-3171

345 W Memorial Dr
Hinesville, GA 31313
Phone (912) 456-2010

77 Hazzard Creek Vlg
#C
Ridgeland, SC 29936
Phone (843) 645-7700

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1407391337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG UNIT C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HAZZARD CREEK VLG UNIT C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368266",
            "telephone_number": "843-645-7700",
            "fax_number": "888-908-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Powers Pl",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300098356",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "014822",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "014822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.