Jeffrey Simon, PLMSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PLMSW Issued in AR

Practice address

267 Washington St
Waldron, AR 72958-7090

Phone

(479) 637-0559

NPI assigned

Feb 5, 2021

Last updated

Jul 29, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transitions Mental Health Services

  • Clinical Social Worker
  • Waldron, AR
  • NPI 1174281471
  NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1962094490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727740618",
            "telephone_number": "303-489-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 WASHINGTON ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587090",
            "telephone_number": "479-637-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEFFREY",
        "credential": "PLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "PLMSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Valley Primary Care Services (Waldron Community Dental)
• River Valley Primary Care Services
• River Valley Primary Care Services (Waldron Family Clinic)
• Sara L Roberson, M.D.
• Ariel J Sebo, APRN, FNP-C
• Donald Patrick Smith, P.D.
• State of Arkansas (Scott County Health Unit)
• Marcee Stewart, FNP
• Jordyn Elizabeth Temple, MD
• The Guidance Center - Scott County Sats

• Counselor in Waldron, AR
• Providers in Waldron, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.