Individual provider Active NPI

Devra B Simiu, LCPC

  • Mental Health Counselor
  • Bethesda, MD
National Provider Identifier
1821146945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC0986 Issued in MD
Practice address
4824 Edgemoor LN
Third Floor
Bethesda, MD 20814-5306
Phone
(301) 654-0336
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC0986 MD Primary

Addresses

Primary practice location

4824 Edgemoor LN
Third Floor
Bethesda, MD 20814-5306

Mailing address

4824 Edgemoor LN
Third Floor
Bethesda, MD 20814-5306
Phone (301) 654-0336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240930004105 DC Practitioner - Mental Health Counselor 9931630043 Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC0986MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821146945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 EDGEMOOR LN",
            "address_2": "THIRD FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145306",
            "telephone_number": "301-654-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 EDGEMOOR LN",
            "address_2": "THIRD FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145306",
            "telephone_number": "301-654-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIU",
        "first_name": "DEVRA",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.