Active NPI
Cynthia M Simo, PCC-S
- Professional Counselor
- Lorain, OH
National Provider Identifier
1720352669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0602042-SUPV
- Practice address
- 2173 N Ridge Rd E
Lorain, OH 44055-3400 - Phone
- (440) 260-6108
- Fax
- (440) 282-3400
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.0602042 | OH | |
| Professional Counselor | 101YP2500X | E.0602042-SUPV | OH | Primary |
Addresses
Primary practice location
2173 N Ridge Rd E
Lorain, OH 44055-3400
Mailing address
2173 N Ridge Rd E
Lorain, OH 44055-3400
Phone (440) 260-6108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.0602042 | OH | MD | Professional Counselor |
| E.0602042-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients | |
| Ohioguidestone | Current | Accepting new patients |
Locations
434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327
202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327
2173 N Ridge Rd E
Ste E
Lorain, OH 44055
Phone (440) 260-6100
2173 N Ridge Rd E
#G
Lorain, OH 44055
Organizations & group practices 3
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.
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-
- Family Medicine Physician
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- NPI 1487452603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473206400000",
"number": "1720352669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2173 N RIDGE RD E",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553400",
"telephone_number": "440-260-6108",
"fax_number": "440-282-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2173 N RIDGE RD E",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553400",
"telephone_number": "440-260-6108",
"fax_number": "440-282-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMO",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2016-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.0602042",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0602042-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.