Chandler Deshazo Simpson, LCMHCA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A14020 Issued in NC

Practice address

530 Rosenwald St
Burlington, NC 27217-2468

Phone

(919) 949-1627

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Fullscope Counseling Services

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1588030738
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1609487925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 LOCKESLEY LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178733",
            "telephone_number": "919-949-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ROSENWALD ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172468",
            "telephone_number": "919-949-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHANDLER",
        "middle_name": "DESHAZO",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burlington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 Rosenwald St",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272172468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peighton Simmons
• Jennifer Erin Simms, LCMHCA
• Michael Simms
• Simpson Physical Therapy, Inc.
• Betsy Johnston Simpson, PT
• Heather Brooke Simpson, LCSW
• Michael Simpson, PHARMD
• Simrun Health Services Inc.
• Simrun Health Services, Inc
• Simrun Health Services, Inc

• Mental Health Counselor in Burlington, NC
• Providers in Burlington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.