Individual provider Active NPI

Tracie Ranae Simon, LMHC

  • Mental Health Counselor
  • Ames, IA
National Provider Identifier
1801575808
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
119830 Issued in IA
Practice address
223 S Walnut Ave Ste 140
Ames, IA 50010-6974
Phone
(515) 368-7504
Fax
(515) 355-3491
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 119830 IA Primary

Addresses

Primary practice location

223 S Walnut Ave Ste 140
Ames, IA 50010-6974

Mailing address

5408 NW 88TH St Ste 140
Johnston, IA 50131-2953
Phone (515) 368-7504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260102001779 IA Practitioner - Mental Health Counselor 6901392562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mending Minds LLCGroup PAC ID 5496168882, 13 clinicians

Practice addresses (Care Compare)

223 S Walnut Ave
Walnut Creek Psychiatry
Ames, IA 50010-6974
Phone (515) 368-7504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119830IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Minds, LLC Mental Health CurrentSince Dec 31, 2025 Accepting new patients

Locations

223 S Walnut Ave
Ames, IA 50010
Phone (515) 233-1122

223 S Walnut Ave
Ste 140
Ames, IA 50010
Phone (515) 368-7504

5408 NW 88th St
Ste 140
Johnston, IA 50131
Phone (515) 368-7504

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1801575808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S WALNUT AVE STE 140",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106974",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TRACIE",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "119830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.