Individual provider Active NPI

Erica Sims, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1891248381
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
15992 Issued in AZ
Practice address
13201 N 35TH Ave Ste 5B
Phoenix, AZ 85029-1231
Phone
(602) 777-1268
Fax
(866) 251-5468
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 15992 AZ Primary

Addresses

Primary practice location

13201 N 35TH Ave Ste 5B
Phoenix, AZ 85029-1231

Mailing address

24654 N Lake Pleasant Pkwy # 103-328
Peoria, AZ 85383-1359
Phone (602) 777-1268

Other identifiers 1

IdentifierTypeStateIssuer
866000472MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240215002984 AZ Practitioner - Mental Health Counselor 5991149205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dynamic Counseling and Coaching Solutions, LLCGroup PAC ID 0446694756, 2 clinicians

Practice addresses (Care Compare)

2550 W Union Hills Dr
Suite 350
Phoenix, AZ 85027-5187
Phone (602) 777-1268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15992AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling and Coaching Solutions, LLC Professional CurrentSince Feb 1, 2024 Accepting new patients
Freedom Within Child Adolescent and Family Psychiatry LLC Past Accepting new patients

Locations

24654 N Lake Pleasant Pkwy
#103328
Peoria, AZ 85383

13201 N 35th Ave
Ste 5B
Phoenix, AZ 85029
Phone (602) 777-1268

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

Organizations & group practices 2

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": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1891248381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY # 103-328",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "602-777-1268",
            "fax_number": "866-251-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE 5B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291231",
            "telephone_number": "602-777-1268",
            "fax_number": "866-251-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "ERICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "15992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866000472",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.