Nicole Simon, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2106004 Issued in AR

Practice address

1401 Malvern Ave Ste 272
Hot Springs, AR 71901-6371

Phone

(870) 796-0623

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nsimon@cornerstonecounselingclinic.com

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.

• Simon-Stueart Counseling Service, LLC

  • Professional Counselor
  • Hot Springs, AR
  • NPI 1467182683

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1700233558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W OLIVE ST",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573134",
            "telephone_number": "870-796-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 272",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016371",
            "telephone_number": "870-796-0623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Olive St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AR",
            "postal_code": "718573134",
            "country_code": "US",
            "telephone_number": "870-796-0623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718522407",
            "country_code": "US",
            "telephone_number": "870-796-0623",
            "fax_number": "732-375-9518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2106004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700233558",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nsimon@cornerstonecounselingclinic.com",
            "affiliation": "N",
            "address_1": "508 N 2nd St",
            "city": "Nashville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718523925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsimon@simon-stueartcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1401 Malvern Ave Ste 272",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719016371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsimon@simon-stueartcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "325 W Olive St",
            "city": "Prescott",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718573134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rajesh Shroff, M.D.
• Leigh A Shuck, APRN, FNP-C
• Kerry Shuffield
• Stephen Simms
• Simon-Stueart Counseling Service, LLC
• Tanner Wayne Simon, PHARMD
• Darian Jerome Sims, RN, CRNA
• Jeremy Sims, LMSW
• Aaron Ian Singh, P.A.
• Sirius B Apothecary & Wellness

• Mental Health Counselor in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.