Individual provider Active NPI

Marie Sims, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phila, PA
National Provider Identifier
1710875224
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP032561 Issued in PA
Practice address
3300 Henry Ave, Okami Collective, Suite 364
Phila, PA 19129-1141
Phone
(215) 618-9766
Fax
(215) 330-4792
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP032561 PA Primary

Addresses

Primary practice location

3300 Henry Ave, Okami Collective, Suite 364
Phila, PA 19129-1141

Mailing address

755 W Lancaster Ave # 1016
Bryn Mawr, PA 19010-3401
Phone (215) 618-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324000914 PA Practitioner - Nurse Practitioner 9436633856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Pheasant Run
Suite 112
Newtown, PA 18940-4302

25 Bancroft Rd
New Castle, DE 19720-8847

3300 Henry Ave
Suite 364
Philadelphia, PA 19129-1141

9 Nobadeer Dr
Pennington, NJ 08534-9751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP032561PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Wellness Coalition Outpatient Mental Health Clinic Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

755 W Lancaster Ave
Bryn Mawr, PA 19010
Phone (215) 868-8305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1710875224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W LANCASTER AVE # 1016",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103401",
            "telephone_number": "215-618-9766",
            "fax_number": "215-330-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE, OKAMI COLLECTIVE, SUITE 364",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191291141",
            "telephone_number": "215-618-9766",
            "fax_number": "215-330-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP032561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.