Active NPI
James Simac
- Professional Counselor
- Sheboygan, WI
National Provider Identifier
1780008060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15696-131
- Practice address
- 503 Wisconsin Ave.
Sheboygan, WI 53081 - Phone
- (920) 457-7802
- Fax
- (920) 457-7947
- NPI assigned
- Feb 7, 2014
- Sex
- Male
- 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 | 15696-131 | WI | |
| Professional Counselor | 101YP2500X | 15696-131 | WI | Primary |
Addresses
Primary practice location
503 Wisconsin Ave.
Sheboygan, WI 53081
Mailing address
6737 West Washington St., Suite 2210
West Allis, WI 53214
Phone (414) 777-1570
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15696-131 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Behavioral Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- West Allis, WI
- NPI 1568620466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1780008060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6737 WEST WASHINGTON ST., SUITE 2210",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53214",
"telephone_number": "414-777-1570",
"fax_number": "414-777-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 WISCONSIN AVE.",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "53081",
"telephone_number": "920-457-7802",
"fax_number": "920-457-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMAC",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-07",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15696-131",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "15696-131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.