Active NPI
James Simmerer, LCSW, Counseling & Psychotherapy Services, LLC
- Clinical Social Worker
- Orland Park, IL
National Provider Identifier
1851442628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JAMES SIMMERER, LCSW, COUNSELING & PSYCHOTHERAPY SERVICES, LLC
- Practice address
- 11309 Distinctive Dr
Orland Park, IL 60467-9460 - Phone
- (708) 228-0475
- Fax
- (708) 326-4095
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Paul Simmerer, M.S.W., L.C.S.W.
- Title
- Therapist
- Phone
- (708) 228-0475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
11309 Distinctive Dr
Orland Park, IL 60467-9460
Mailing address
22W267 First St.
Glen Ellyn, IL 60137-3530
Phone (708) 228-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4747 Lincoln Mall Dr
Ste 410
Matteson, IL 60443
Phone (630) 499-6197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Orland Park, IL
- NPI 1790982908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851442628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22W267 FIRST ST.",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601373530",
"telephone_number": "708-228-0475",
"fax_number": "708-326-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11309 DISTINCTIVE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679460",
"telephone_number": "708-228-0475",
"fax_number": "708-326-4095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES SIMMERER, LCSW, COUNSELING & PSYCHOTHERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMMERER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "708-228-0475",
"authorized_official_credential": "M.S.W., L.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.