Individual provider Active NPI

Suzanne Siman, MACC, LPC

  • Professional Counselor
  • Simpsonville, SC
National Provider Identifier
1447398474
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5253 Issued in SC
Practice address
304A NE Main St
Simpsonville, SC 29681-2319
Phone
(864) 553-0076
Fax
(877) 201-4878
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5253 SC Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

304A NE Main St
Simpsonville, SC 29681-2319

Mailing address

421 SE Main St
Suite 201
Simpsonville, SC 29681-2695
Phone (864) 553-0076

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

State licenses

LicenseStateTypeSpecialty
5253SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Center for Counseling & Behavioral Interventions, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1447398474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SE MAIN ST",
            "address_2": "SUITE 201",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812695",
            "telephone_number": "864-553-0076",
            "fax_number": "864-963-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304A NE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812319",
            "telephone_number": "864-553-0076",
            "fax_number": "877-201-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAN",
        "first_name": "SUZANNE",
        "credential": "MACC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5253",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.