Ruby Sims, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17826 Issued in NC

Practice address

612 N 1St Ave
Knightdale, NC 27545-8506

Phone

(919) 514-3566

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Three Oaks Behavioral Health & Wellness

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1528563194
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1922732346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 1ST AVE",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458506",
            "telephone_number": "919-514-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "RUBY",
        "credential": "LCMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyel Sherman, MED, BCBA
• Shufford Group Home
• Rachel Silver
• Simpson & Associates Counseling Services
• Brandi Simpson, BCBA
• Chad Smith, PA
• Heather Marie Smith, LCMHCA
• Jamie Smith
• Tasha Smith, LCSWA
• William Edward Smith III

• Mental Health Counselor in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.