Jeffrey Simon, PLMSW
Individual provider Active NPI Counselor · Waldron, AR
NPI 1962094490 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1962094490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- PLMSW (AR)
- Practice address
- 267 Washington St
Waldron, AR 72958-7090 - Phone
- (479) 637-0559
- NPI assigned
- Feb 5, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Mental Health Services | Current |
Accepting new patients |
Locations
267 Washington St
Waldron, AR 72958
Phone (479) 207-2072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PLMSW | AR | Yes |
Addresses
Primary practice location
267 Washington St
Waldron, AR 72958-7090
Mailing address
PO Box 618
West Fork, AR 72774-0618
Phone (303) 489-9557
Other providers in Waldron, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.