Simply Graced

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SIMPLY GRACED

Practice address

580 W Arapaho Rd Ste 208
Richardson, TX 75080-4371

Phone

(214) 774-9808

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer N Dasilva

Title

Executive Director

Phone

(214) 774-9808

Specialties & licenses 2

Addresses

Other names 1

• Simply Grace Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Heather Michelle Nolan, LCSW-S, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Richardson, TX
  • NPI 1255839296
  Medicare reassignment

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1689175374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W ARAPAHO RD STE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W ARAPAHO RD STE 208",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804371",
            "telephone_number": "214-774-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY GRACED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "DASILVA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-774-9808"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Tiruneh Sima
• Vivien Simmons, BCBA
• Doreen Simonian
• Angela L Simons
• Katherine M Simons, BCBA, LBA
• Simply T&T Incorporated
• Simplyaware LLC
• Elizabeth Paige Simpson
• Harold Von Simpson
• Teresa Simpson, RD, LD, CDE

• Substance Use Disorder Rehabilitation Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.