Kellie Marie Sims

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001648 Issued in NY

Practice address

200 E 3Rd St
Jamestown, NY 14701-5433

Phone

(716) 661-8330

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Group practices

County of Chautauqua - a Mun CorpGroup PAC ID 1951380633, 23 clinicians

Breakthrough Counseling LCSWGroup PAC ID 2163881814, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Breakthrough Counseling, LCSW

  • Mental Health Counselor
  • Jamestown, NY
  • NPI 1487351565
  Medicare reassignment Care Compare group NPD
• County of Chautauqua - a Mun Corp

  dba Chautauqua County Department of Mental Hygiene

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
  • NPI 1902897374
  Medicare reassignment Care Compare group NPD
• County of Chautauqua - a Mun Corp

  • Ambulance
  • Mayville, NY
  • NPI 1992244404
  NPD
• Hulbert Counseling Services LCSW PC

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1720120629
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1790984748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N ERIE ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Elizabeth Sigmund, CNM
• Ashley Anne Siliano, BSN RNFA CNOR
• Douglas R Sillart, M.D.
• Nelson Philip H Silvestre, M.D.
• Tammy Caruana Simmons, LMSW
• Charles Edward Sinatra, DDS
• Joseph Peter Sinatra
• Stephanie Michelle Singer
• Lisa M Sirianno, PTA
• Cheryl Lee Sirwatka, MA CCC/SLP L

• Mental Health Counselor in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.