Active NPI
Brent Simpson
- Counselor
- Carterville, IL
National Provider Identifier
1437494002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 403 Municipal Dr
Carterville, IL 62918-2042 - Phone
- (618) 319-6069
- Fax
- (618) 319-4720
- NPI assigned
- Dec 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
403 Municipal Dr
Carterville, IL 62918-2042
Mailing address
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483
Other practice location 1
16342 N Il Hwy 37
Mt Vernon, IL 62864
Phone (618) 242-1510 ext. 278
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1437494002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 W MAIN ST",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628962210",
"telephone_number": "618-937-6483",
"fax_number": "618-937-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 MUNICIPAL DR",
"city": "CARTERVILLE",
"state": "IL",
"postal_code": "629182042",
"telephone_number": "618-319-6069",
"fax_number": "618-319-4720"
}
],
"practiceLocations": [
{
"address_1": "16342 N IL HWY 37",
"address_purpose": "LOCATION",
"city": "MT VERNON",
"state": "IL",
"postal_code": "62864",
"country_code": "US",
"telephone_number": "618-242-1510 x278",
"fax_number": "618-242-0958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carterville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.