Active NPI
Nicolle Simms
- Professional Counselor
- Richmond, VA
National Provider Identifier
1508192139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 101YP2500X
- Practice address
- 1412 Trailing Ridge Rd
Richmond, VA 23231-5785 - Phone
- (804) 216-6461
- NPI assigned
- Nov 2, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101Y00000X | VA | |
| Professional Counselor | 101YP2500X | 101YP2500X | VA | Primary |
| Behavior Analyst | 103K00000X | 103K00000X | VA |
Addresses
Primary practice location
1412 Trailing Ridge Rd
Richmond, VA 23231-5785
Mailing address
1412 Trailing Ridge Rd
Richmond, VA 23231-5785
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101Y00000X | VA | MD | Professional Counselor |
| 101YP2500X | VA | MD | Professional Counselor |
| 103K00000X | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1508192139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 TRAILING RIDGE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232315785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 TRAILING RIDGE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232315785",
"telephone_number": "804-216-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMS",
"first_name": "NICOLLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "101Y00000X",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "101YP2500X",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "103K00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.