Individual provider Active NPI

India Simms, LCMFT

  • Marriage & Family Therapist
  • Owings Mills, MD
National Provider Identifier
1740615020
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46-3534610 Issued in MD
Practice address
4552 Hidden Stream CT
Owings Mills, MD 21117-4837
Phone
(443) 798-2450
NPI assigned
Sep 5, 2013
Last updated
Sep 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46-3534610 MD Primary

Addresses

Primary practice location

4552 Hidden Stream CT
Owings Mills, MD 21117-4837

Mailing address

9722 Groffs Mill Dr Ste 748
Owings Mills, MD 21117-6341
Phone (216) 798-7388

Other practice location 1

14109 Bowsprit Lane #209
Laurel, MD 20707-6327
Phone (216) 798-7388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260427003635 MD Practitioner - Marriage and Family Therapist 4486121464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

11221 Dolfield Blvd
Suite 112 113
Owings Mills, MD 21117-3254
Phone (443) 213-8482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Haven Center for Therapy and Wellness, LLC CurrentSince Oct 20, 2019 Accepting new patients
Maryland Couples and Family Therapy Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 4

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": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1740615020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 GROFFS MILL DR STE 748",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176341",
            "telephone_number": "216-798-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 HIDDEN STREAM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174837",
            "telephone_number": "443-798-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14109 Bowsprit Lane #209",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207076327",
            "country_code": "US",
            "telephone_number": "216-798-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "INDIA",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "46-3534610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.