Organization Active NPI

Susan V Sims, LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1578824413
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4365 Issued in FL
Legal business name
SUSAN V SIMS, LLC
Practice address
3601 W Azeele St
Tampa, FL 33609-2805
Phone
(813) 874-0608
Fax
(813) 350-9544
NPI assigned
Jun 7, 2012
Last updated
Jun 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Ms. Susan V Sims, LMHCNPI 1407907017
Title
Owner
Phone
(813) 874-0608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH4365 FL Primary

Addresses

Primary practice location

3601 W Azeele St
Tampa, FL 33609-2805

Mailing address

3601 W Azeele St
Tampa, FL 33609-2805
Phone (813) 874-0608

Other identifiers 2

IdentifierTypeStateIssuer
000048900MedicaidFL
1407907017OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

3601 W Azeele St
Tampa, FL 33609
Phone (813) 350-9500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1578824413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092805",
            "telephone_number": "813-874-0608",
            "fax_number": "813-350-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092805",
            "telephone_number": "813-874-0608",
            "fax_number": "813-350-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN V SIMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-874-0608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000048900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407907017",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.