Individual provider Active NPI

Giancarlo Simpson, LMHC

  • Mental Health Counselor
  • Lauderdale Lakes, FL
National Provider Identifier
1922617828
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18225 Issued in FL
Practice address
4699 N State Road 7 Ste B1
Lauderdale Lakes, FL 33319-5870
Phone
(954) 459-1473
NPI assigned
Jul 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 MH18225 FL Primary

Addresses

Primary practice location

4699 N State Road 7 Ste B1
Lauderdale Lakes, FL 33319-5870

Mailing address

4699 N State Road 7 Ste B1
Lauderdale Lakes, FL 33319-5870

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
I20250624000358 DC Practitioner - Mental Health Counselor 6204272073 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18225FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Thelma Tennie & Associates CurrentSince Aug 2, 2020 Accepting new patients
Healing Arts Institute of South Florida International Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

4699 N State Road 7
Ste B1
Lauderdale Lakes, FL 33319
Phone (954) 459-1473

Organizations & group practices 3

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1922617828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7 STE B1",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N STATE ROAD 7 STE B1",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195870",
            "telephone_number": "954-459-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "GIANCARLO",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.