Larry Mark Simon, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00146 Issued in RI

Practice address

68 Cumberland St
Suite 102
Woonsocket, RI 02895-3323

Phone

(401) 356-1940

Fax

(401) 356-1949

NPI assigned

Sep 20, 2006

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Plaza Psychology & Psychiatry, Inc.

  • Clinical Psychologist
  • Woonsocket, RI
  • NPI 1306890546

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1487752119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 102",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-356-1940",
            "fax_number": "401-356-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LARRY",
        "middle_name": "MARK",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "233219",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LS40876",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408993",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6267131",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "470076",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgina Silva, FNP
• Silver Fern Practice, LLC (Highbar)
• Silvercrest Healing Sanctuary, LLC
• Kimberley D Silveria, RN
• Rut N Silverio Pena
• Rebecca Singleton, BS
• Amy J Skurka
• Elyse Gail Skurka
• Smgri, PC
• Andrew Wolfe Smith, LCSW

• Mental Health Counselor in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.