Gina Simonelli, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC8204 Issued in CA

Practice address

881 Alma Real Dr Ste 311
Pacific Palisades, CA 90272-5047

Phone

(310) 713-6739

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Affordable Psychological Services, Professional Corp.

  • Community/Behavioral Health Agency
  • Pacific Palisades, CA
  • NPI 1508463043
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1700540598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S COCHRAN AVE APT 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 311",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725047",
            "telephone_number": "310-713-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONELLI",
        "first_name": "GINA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10246",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Shakarian, D.C.
• Shangrila Care Inc.
• Jami Shah Sheth, PHARMD
• Robert Bruce Shields, PT
• Caroline Shim, MD
• Sergey Sirenko, D.D.S.
• Theresa Slazinski
• Sleep Well America Institute Inc
• Sleep Well America Institute Inc
• Cosette T Smith, P.T.

• Professional Counselor in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.