Active NPI
Paul Simon
- Peer Specialist
- Delaware, OH
National Provider Identifier
1578325817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 250 S Henry St
Delaware, OH 43015-2978 - Phone
- (740) 369-4482
- Fax
- (740) 480-5200
- NPI assigned
- Jan 23, 2024
- Last updated
- Sep 14, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 187038 | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
250 S Henry St
Delaware, OH 43015-2978
Mailing address
6400 E Broad St Ste 400
Columbus, OH 43213-2979
Phone (614) 655-3345
Other practice location 1
11361 N 99th Ave Ste 402
Peoria, AZ 85345-5459
Phone (602) 650-1212
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 |
|---|---|---|---|
| 187038 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Residential Group, LLC | Past | Accepting new patients | |
| Focus Residential Group, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/focusresidential/r4/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Franklin Furnace, OH
- NPI 1225629660
-
- Substance Abuse Rehabilitation Facility
- Franklin Furnace, OH
- NPI 1962801548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1578325817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 E BROAD ST STE 400",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132979",
"telephone_number": "614-655-3345",
"fax_number": "740-480-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S HENRY ST",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430152978",
"telephone_number": "740-369-4482",
"fax_number": "740-480-5200"
}
],
"practiceLocations": [
{
"address_1": "11361 N 99th Ave Ste 402",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853455459",
"country_code": "US",
"telephone_number": "602-650-1212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-23",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "187038",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.