Samantha Ann Simon, MLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007951 Issued in MI

Practice address

1009 44TH St SW Ste 103
Wyoming, MI 49509-4480

Phone

(269) 459-1818

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Samantha Simon Counseling, PC

  • Counseling Psychologist
  • South Haven, MI
  • NPI 1346173895
  NPD Authorized official
• Meredith Psychological and Testing Services, LLC

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1558735266
  NPD
• Way to Thrive

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1043143365
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1730955717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "269-459-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 44TH ST SW STE 103",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094480",
            "telephone_number": "269-459-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "MLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Andrew Shillinglaw, DO
• Nichole Shroll
• Fazeel Mukhtar Siddiqui, M.D.
• Jason Douglas Sikkema, MA MLP
• Mercy Simmons
• Michelle Lynn Simons, MSW, LMSW
• Simply a Loving Touch Home Care Services, LLC
• Emma Simpson, DO
• Kathleen Sue Knopf Simpson, PT, CHT
• Rachel Simpson, DC

• Psychologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.