Kevin Michael Simpson, LCDC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

161644 Issued in OH

Practice address

3801 Whipple Ave NW Ste 1
Canton, OH 44718-4802

Phone

(216) 413-0413

NPI assigned

Oct 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stark Recovery Associates

  • Clinic/Center
  • Canton, OH
  • NPI 1194396689
  NPD
• Stark Recovery Associates, LLC

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1912641481
  NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1942962220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WHIPPLE AVE NW STE 1",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184802",
            "telephone_number": "216-413-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WHIPPLE AVE NW STE 1",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184802",
            "telephone_number": "216-413-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCDC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sevinkimpson91@gmail.com",
            "affiliation": "N",
            "address_1": "3801 Whipple Ave NW Ste 1",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447184802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Simon, LPN
• Melody Lynn Simon
• William Simons
• Daja Simpson, BA
• David Simpson
• Ashley Elizabeth Sims, LPC
• Tyler James Sims
• Patricia Ann Sinar, CRNA
• Kelly Louise Sinclair-McClintock, MA, LICDC
• Rachel Singer, CNP

• Addiction (Substance Use Disorder) Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.