Simone Watkins, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178016424 Issued in IL

Practice address

1618 Orrington Ave
Evanston, IL 60201-5016

Phone

(847) 328-7588

NPI assigned

Feb 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1962096628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 S INDIANA AVE APT 3011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015016",
            "telephone_number": "847-328-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SIMONE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "1618 Orrington Ave",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602015016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Iva Brenae Washington, LPC
• Marcus Washington, ATC
• Bradly Winston Chikara Watarai
• William Glen Watkin, M.D.
• Catherine R Watkins
• Cathleen M. Watt, M.D.
• Watters Wellness PLLC
• Karen Anita Watts, LPC
• Lowell Z Wax, CRNA
• Jessica Rachel Waxman, LMFT

• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.