Individual provider Active NPI

Simone Deloach, MFT, LCDC

  • Developmental Therapist
  • Round Rock, TX
National Provider Identifier
1962959841
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
106 S Harris St Ste 230
Round Rock, TX 78664-6081
Phone
(512) 843-3130
NPI assigned
Sep 8, 2016
Reactivated
Nov 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 204827 TX
Developmental Therapist 222Q00000X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16134 TX

Addresses

Primary practice location

106 S Harris St Ste 230
Round Rock, TX 78664-6081

Mailing address

106 S Harris St Ste 230
Round Rock, TX 78664-6081
Phone (512) 843-3130

Other practice location 1

1100 W Cesar Chavez St
Austin, TX 78703-4698
Phone (737) 303-6134

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
204827TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1962959841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S HARRIS ST STE 230",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646081",
            "telephone_number": "512-843-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HARRIS ST STE 230",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646081",
            "telephone_number": "512-843-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 W Cesar Chavez St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787034698",
            "country_code": "US",
            "telephone_number": "737-303-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "SIMONE",
        "credential": "MFT, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "deactivation_date": "2025-09-23",
        "reactivation_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "204827",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.