Individual provider Active NPI

Mary Marshall Simonson, LPC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1609142702
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8492 Issued in NC
Practice address
3125 Poplarwood CT
Suite 203
Raleigh, NC 27604-1084
Phone
(919) 571-2932
NPI assigned
Mar 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8492 NC Primary

Addresses

Primary practice location

3125 Poplarwood CT
Suite 203
Raleigh, NC 27604-1084

Mailing address

408 Heritage Village LN
Apex, NC 27502-8492
Phone (910) 619-4650

Other practice location 1

600 New Waverly Pl Ste 203
Cary, NC 27518-7404
Phone (919) 410-7083

Other identifiers 1

IdentifierTypeStateIssuer
5917231MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207000126 NC Practitioner - Mental Health Counselor 9133578875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Johns Hopkins University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

600 New Waverly PL
Suite 203
Cary, NC 27518-7404
Phone (919) 859-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A8492NCMDMental Health Counselor
8492NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Nov 28, 2024 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Nov 28, 2024 Accepting new patients
RDMG Associates, PA Mental Health Current Accepting new patients

Locations

600 New Waverly Pl
Ste 203
Cary, NC 27518
Phone (919) 410-7083

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

10620 Park Rd
Ste 128
Charlotte, NC 28210
Phone (704) 542-6111

236 Butternut Ln
Clayton, NC 27520
Phone (919) 359-1011

100 Cunningham Ln
Clayton, NC 27527
Phone (919) 359-1011

864 Black Creek Rd
Four Oaks, NC 27524
Phone (919) 963-3148

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

8300 Health Park
Ste 213
Raleigh, NC 27615
Phone (919) 896-7066

7205 Stonehenge Dr
Ste 200
Raleigh, NC 27613
Phone (919) 410-7083

Interoperability endpoints

  • Direct secure messaging: marymarshallsimonson@rdmgbh.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1609142702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HERITAGE VILLAGE LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028492",
            "telephone_number": "910-619-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT",
            "address_2": "SUITE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041084",
            "telephone_number": "919-571-2932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 New Waverly Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187404",
            "country_code": "US",
            "telephone_number": "919-410-7083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "MARY",
        "middle_name": "MARSHALL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.