Active NPI
Teresa Dawn Simkins-Aris, ED.D.
- Specialist
- Phoenix, AZ
National Provider Identifier
1982200499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2627 E Thomas Rd
Phoenix, AZ 85016-8227 - Phone
- (602) 237-5575
- Fax
- (602) 237-5996
- NPI assigned
- Dec 9, 2020
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-19154 | AZ | |
| Professional Counselor | 101YP2500X | LPC-19154 | AZ | |
| School Counselor | 101YS0200X | LPC-19154 | AZ | |
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Art Therapist | 221700000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Recreation Therapist | 225800000X | |||
| Registered Record Administrator | 246YR1600X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2627 E Thomas Rd
Phoenix, AZ 85016-8227
Mailing address
2627 E Thomas Rd
Phoenix, AZ 85016-8227
Phone (307) 214-4815
Other practice location 1
2627 E Thomas Rd
Phoenix, AZ 85016-8227
Phone (602) 616-6836
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 |
|---|---|---|---|
| LPC-19154 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individualized Learning Centers LLC | Current | Accepting new patients | |
| New Hope Health | Current | Accepting new patients |
Locations
2627 E Thomas Rd
Phoenix, AZ 85016
Phone (307) 214-4815
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1174154736
-
- Adolescent and Children Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1750987103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1982200499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168227",
"telephone_number": "307-214-4815",
"fax_number": "602-237-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168227",
"telephone_number": "602-237-5575",
"fax_number": "602-237-5996"
}
],
"practiceLocations": [
{
"address_1": "2627 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850168227",
"country_code": "US",
"telephone_number": "602-616-6836",
"fax_number": "602-237-5996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMKINS-ARIS",
"first_name": "TERESA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-19154",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-19154",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "LPC-19154",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "246YR1600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.