Susan Simpson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL2590 Issued in ME

Practice address

50 Monument SQ
Portland, ME 04101-4039

Phone

(207) 874-1175

Fax

(207) 874-1181

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1962632588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LYDIA LN",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062156",
            "telephone_number": "207-874-1175",
            "fax_number": "207-874-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MONUMENT SQ",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014039",
            "telephone_number": "207-874-1175",
            "fax_number": "207-874-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431581499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Simone, PHARMD, DABAT
• Paul Simonsen, PT
• Jason Simpson, RN
• Kerry Stephen Simpson
• Stephen Brent Simpson
• Theresa A. Simpson, LCSW
• Aneesh Singal
• Harpreet Singh, DO
• Danielle Hansen Sipsock, M.D.
• Kayla R. Sirard, PA

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.