Simone Robin Gillis, MSMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

800 Macdade Blvd
Collingdale, PA 19023-3826

Phone

(610) 938-9381

NPI assigned

Jan 23, 2012

Last updated

Jan 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Simone Robin Gillis Professional name

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coras Wellness and Behavioral Health, LLC

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  • Millsboro, DE
  • NPI 1023686284
  NPD
• Connections Community Support Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, DE
  • NPI 1689733792
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1427329432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD FENCE LN",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023720",
            "telephone_number": "610-938-9381",
            "fax_number": "610-957-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MACDADE BLVD",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190233826",
            "telephone_number": "610-938-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "SIMONE",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "MSMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "GILLIS",
            "middle_name": "ROBIN",
            "prefix": "MS.",
            "credential": "MSMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Louise Gaye
• Gentle Dental Collingdale
• Sherri N Ghee, CPD
• Gift Home Healthcare
• Gift Home Healthcare
• Barbara Ewa Gorska-Swiatecka, D.M.D.
• Danielle Grasty
• Kimberly Gruden, LSW
• Joy Guyton
• Halia Home and Community Services

• Mental Health Counselor in Collingdale, PA
• Providers in Collingdale, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.