Individual provider Active NPI

Trevor Simon, LPC

  • Mental Health Counselor
  • Pearland, TX
National Provider Identifier
1952064990
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83819 Issued in TX
Practice address
1853 Pearland Pkwy Ste 123
Pearland, TX 77581-8864
Phone
(281) 916-8171
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 83819 TX Primary

Addresses

Primary practice location

1853 Pearland Pkwy Ste 123
Pearland, TX 77581-8864

Mailing address

1853 Pearland Pkwy Ste 123
Pearland, TX 77581-8864
Phone (281) 916-8171

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@therapywithtrev.com Health Information Exchange (HIE)

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
83819TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Bliss Counseling PLLC Mental Health CurrentSince Oct 22, 2023 Accepting new patients

Locations

2225 County Road 90
Ste 219
Pearland, TX 77584
Phone (281) 222-4326

1853 Pearland Pkwy
Ste 123
Pearland, TX 77581
Phone (346) 744-9593

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1952064990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 PEARLAND PKWY STE 123",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818864",
            "telephone_number": "281-916-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 PEARLAND PKWY STE 123",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818864",
            "telephone_number": "281-916-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TREVOR",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@therapywithtrev.com",
            "affiliation": "N",
            "endpointDescription": "Practice email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1853 Pearland Pkwy Ste 123",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775818864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.