Active NPI
Sydney Lynn Simeus, LPC
- Professional Counselor
- Chandler, AZ
National Provider Identifier
1417516865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18099
- Practice address
- 1600 W Carla Vista Dr.
#304
Chandler, AZ 85224 - Phone
- (480) 427-0037
- Fax
- (480) 427-0122
- NPI assigned
- Jun 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-18099 | AZ | Primary |
Addresses
Primary practice location
1600 W Carla Vista Dr.
#304
Chandler, AZ 85224
Mailing address
1600 W Carla Vista Dr.
#304
Chandler, AZ 85224
Phone (505) 850-4171
Other names 1
- Sydney Lynn Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-18099 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1417516865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W CARLA VISTA DR.",
"address_2": "#304",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "505-850-4171",
"fax_number": "602-230-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W CARLA VISTA DR.",
"address_2": "#304",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-427-0037",
"fax_number": "480-427-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEUS",
"first_name": "SYDNEY",
"middle_name": "LYNN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-18099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "PHILLIPS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.