Active NPI
Simone Charise Adams, LMFT
- Marriage & Family Therapist
- N Syracuse, NY
National Provider Identifier
1972808418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000737
- Practice address
- 792 N Main St
N Syracuse, NY 13212-1644 - Phone
- (315) 299-6975
- NPI assigned
- Jan 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000737 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 001119 | GA |
Addresses
Primary practice location
792 N Main St
N Syracuse, NY 13212-1644
Mailing address
29 Hopkins Rd Apt 2
Liverpool, NY 13088-5741
Phone (404) 388-8145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001119 | GA | MD | Marriage & Family Therapist |
| 000737 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1972808418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 HOPKINS RD APT 2",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130885741",
"telephone_number": "404-388-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 N MAIN ST",
"city": "N SYRACUSE",
"state": "NY",
"postal_code": "132121644",
"telephone_number": "315-299-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "SIMONE",
"middle_name": "CHARISE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000737",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "001119",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.