Active NPI
Connie R. Simpson, LPC , MHSP
- Mental Health Counselor
- Johnson City, TN
National Provider Identifier
1609045806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2256
- Practice address
- 508 Princeton Rd
Suite 403
Johnson City, TN 37601-2060 - Phone
- (423) 302-3480
- Fax
- (423) 722-3009
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2256 | TN | Primary |
Addresses
Primary practice location
508 Princeton Rd
Suite 403
Johnson City, TN 37601-2060
Mailing address
508 Princeton Rd
Suite 403
Johnson City, TN 37601-2060
Phone (423) 302-3480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601114265 | Other | TN | MAGELLAN |
| Q024993 | Medicaid | TN |
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 |
|---|---|---|---|
| 2256 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Journey Center for Healing Arts, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Johnson City, TN
- NPI 1013434828
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1609045806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "SUITE 403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012060",
"telephone_number": "423-302-3480",
"fax_number": "423-722-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "SUITE 403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012060",
"telephone_number": "423-302-3480",
"fax_number": "423-722-3009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "CONNIE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "LPC , MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "2256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "601114265",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q024993",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.