Active NPI
Clarence Leon Sims, ED.D.
- Marriage & Family Therapist
- Boerne, TX
National Provider Identifier
1508945098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1980
- Practice address
- 216 Market Ave Ste 150
Boerne, TX 78006-3003 - Phone
- (210) 559-1779
- Fax
- (830) 249-9174
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6332 | TX | |
| Marriage & Family Therapist | 106H00000X | 1980 | TX | Primary |
Addresses
Primary practice location
216 Market Ave Ste 150
Boerne, TX 78006-3003
Mailing address
103 Deer TRL
Boerne, TX 78006-8958
Phone (210) 559-1779
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 |
|---|---|---|---|
| 6332 | TX | MD | Mental Health Counselor |
| 1980 | TX | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508945098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DEER TRL",
"city": "BOERNE",
"state": "TX",
"postal_code": "780068958",
"telephone_number": "210-559-1779",
"fax_number": "830-249-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MARKET AVE STE 150",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063003",
"telephone_number": "210-559-1779",
"fax_number": "830-249-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "CLARENCE",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "6332",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.