Active NPI
Sara Simon, PH.D., LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1972573996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2156
- Practice address
- 2600 Marble NE
Albuquerque, NM 87131-0001 - Phone
- (505) 272-2190
- Fax
- (505) 272-3466
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2156 | NM | Primary |
Addresses
Primary practice location
2600 Marble NE
Albuquerque, NM 87131-0001
Mailing address
11313 Constitution Ave NE
Albuquerque, NM 87112-5545
Phone (505) 293-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11460018 | Other | NM | CAQH PROVIDER ID |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2156 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972573996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11313 CONSTITUTION AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125545",
"telephone_number": "505-293-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MARBLE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-2190",
"fax_number": "505-272-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "SARA",
"name_prefix": "Dr.",
"credential": "PH.D., LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "2156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11460018",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.