Individual provider Active NPI

Teresa Dawn Simkins-Aris, ED.D.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1982200499
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC-19154AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Individualized Learning Centers LLC CurrentSince Dec 1, 2020 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.

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.

Verify at the official NPI Registry.