Individual provider Active NPI

Dana Elizabeth Simons, LCAC, LSW

  • Addiction (Substance Use Disorder) Counselor
  • Terre Haute, IN
National Provider Identifier
1972063600
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001599A Issued in IN
Practice address
619 Washington Ave
Terre Haute, IN 47802-1128
Phone
(812) 917-5006
NPI assigned
Mar 20, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33008381A IN
Addiction (Substance Use Disorder) Counselor 101YA0400X 87001599A IN Primary

Addresses

Primary practice location

619 Washington Ave
Terre Haute, IN 47802-1128

Mailing address

619 Washington Ave
Terre Haute, IN 47802-1128
Phone (812) 917-5006

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
87001599AINMDAddiction (Substance Use Disorder) Counselor
33008381AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Foundation Inc Addiction (Substance Use Disorder) Current Accepting new patients

Locations

619 Washington Ave
Terre Haute, IN 47802
Phone (812) 917-5006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1972063600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 WASHINGTON AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021128",
            "telephone_number": "812-917-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 WASHINGTON AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021128",
            "telephone_number": "812-917-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "DANA",
        "middle_name": "ELIZABETH",
        "credential": "LCAC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33008381A",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001599A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.