Individual provider Active NPI

Tobias W Simers, LPC

  • Professional Counselor
  • Town and Country, MO
National Provider Identifier
1891073755
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011026063 Issued in MO
Practice address
257 Lamp and Lantern VLG
Town and Country, MO 63017-8209
Phone
(636) 486-6250
Fax
(636) 591-1080
NPI assigned
Jul 26, 2011
Last updated
May 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2011026063 MO Primary

Addresses

Primary practice location

257 Lamp and Lantern VLG
Town and Country, MO 63017-8209

Mailing address

420 Tanager Hill Ter
Wildwood, MO 63040-1741
Phone (636) 486-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2011026063MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1891073755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 TANAGER HILL TER",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630401741",
            "telephone_number": "636-486-6250",
            "fax_number": "636-591-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LAMP AND LANTERN VLG",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178209",
            "telephone_number": "636-486-6250",
            "fax_number": "636-591-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMERS",
        "first_name": "TOBIAS",
        "middle_name": "W",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011026063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.