Shimon Okumura, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701005302 Issued in VA

Practice address

3912 Electric Rd
Building C
Roanoke, VA 24018-4513

Phone

(540) 776-0716

Fax

(540) 776-0717

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Counseling Station, LLC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1538811492
  NPD (past)

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1598003469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 ELECTRIC RD",
            "address_2": "BUILDING C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184513",
            "telephone_number": "540-776-0716",
            "fax_number": "540-776-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 ELECTRIC RD",
            "address_2": "BUILDING C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184513",
            "telephone_number": "540-776-0716",
            "fax_number": "540-776-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUMURA",
        "first_name": "SHIMON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinaza Jacinta Okafor
• Maclean Okang, DMD, MSD
• Okeef & Hinrichs DDS PC
• Ijeoma N Okogbue, M.D.
• Cynthia Okoro
• Jeremiah Olajide Olabiyi, MD
• Adeolu Olasunkanmi, M.D.
• Juan C Olazagasti, MD
• Old Southwest Health and Rehabilitation LLC (Old Southwest Health and Rehabilitation)
• Ashleigh Oliver, PA-C

• Mental Health Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.