Cortez D. Sims, DOCTOROF PHILOSOPHY

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

9138 E Dennis St
Mesa, AZ 85207-6008

Phone

(505) 805-9203

NPI assigned

Oct 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Cortez D. Sims Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1790382786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 W ORANGE DR",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404102",
            "telephone_number": "520-477-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9138 E DENNIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852076008",
            "telephone_number": "505-805-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "CORTEZ",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "DOCTOROF PHILOSOPHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTEZ",
            "last_name": "SIMS",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "DR. CORTEZ D. SIMS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Simply Serene Behavioral Health LLC (Simply Serene Wellness Center)
• Simply Serene Behavioral Health LLC (Simply Serene Wellness Center)
• Simply Serene Crisis Center LLC
• Simply Serene Detox and Recovery Center LLC
• James Simpson, MSPC, LAC
• Ebony Sims
• Lanasjanique Coreyanna Sims
• Latasha Sims
• Timothy Allan Sinek, OD
• Zackary James Sinex, MS, BCBA, LBA

• Pastoral Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pastoral Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.