Active NPI
Jessica Sims, M.S., LPCA, LCAS
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
National Provider Identifier
1720439201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22294
- Practice address
- 301 E Washington St Ste 101
Greensboro, NC 27401-2993 - Phone
- (336) 333-6860
- Fax
- (336) 275-1187
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22294 | NC | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
301 E Washington St Ste 101
Greensboro, NC 27401-2993
Mailing address
301 E Washington St Ste 101
Greensboro, NC 27401-2993
Phone (336) 333-6860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22294 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1720439201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E WASHINGTON ST STE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012993",
"telephone_number": "336-333-6860",
"fax_number": "336-275-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E WASHINGTON ST STE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274012993",
"telephone_number": "336-333-6860",
"fax_number": "336-275-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "JESSICA",
"credential": "M.S., LPCA, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "22294",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.