Heart of Gypsy Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEART OF GYPSY COUNSELING SERVICES

Practice address

3550 Lakeline Blvd Ste 170-1229
Leander, TX 78641-3504

Phone

(512) 690-4658

NPI assigned

Dec 24, 2020

Organization subpart

No

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

Authorized official

Name

Michele Lynn Simonich, LCSW, LCDCNPI 1295260693

Title

Owner/Clinician

Phone

(512) 690-4658

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Heart of Gypsy Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heart of Gypsy Counseling Services

  • Community/Behavioral Health Agency
  • Leander, TX
  • NPI 1043800576
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Lynn Simonich, LCSW

  • Clinical Social Worker
  • Killeen, TX
  • NPI 1295260693
  NPD Authorized official

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1669069639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LAKELINE BLVD STE 170-1229",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413504",
            "telephone_number": "512-690-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LAKELINE BLVD STE 170-1229",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413504",
            "telephone_number": "512-690-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GYPSY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "SIMONICH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "512-690-4658",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295260693",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele.simonich@heartofgypsycounseling.net",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "michele.simonich@heartofgypsycounseling.net",
            "address_1": "3550 Lakeline Blvd Ste 170-1229",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786413504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Leander, TX
• Providers in Leander, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.