Active NPI
Chandra Simonds, LICSW
- Counselor
- North Chelmsford, MA
National Provider Identifier
1982668083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 176530
- Practice address
- 73 Princeton St
Suite 203
North Chelmsford, MA 01863-1558 - Phone
- (978) 256-6579
- Fax
- (978) 256-1943
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 176530 | MA | Primary |
Addresses
Primary practice location
73 Princeton St
Suite 203
North Chelmsford, MA 01863-1558
Mailing address
73 Princeton St
Suite 203
North Chelmsford, MA 01863-1558
Phone (978) 256-6579
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHCS | Other | MA | 9413895 |
| TUFTS | Other | MA | 494537 |
| NETWORK | Other | MA | 96618201 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Jul 31, 2024 through Jul 31, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176530 | MA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lowell Psychiatric Associates, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Psychiatric/Mental Health Registered Nurse
- North Chelmsford, MA
- NPI 1760463004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1982668083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 PRINCETON ST",
"address_2": "SUITE 203",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018631558",
"telephone_number": "978-256-6579",
"fax_number": "978-256-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 PRINCETON ST",
"address_2": "SUITE 203",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018631558",
"telephone_number": "978-256-6579",
"fax_number": "978-256-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONDS",
"first_name": "CHANDRA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "176530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "9413895",
"identifier": "PHCS",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "494537",
"identifier": "TUFTS",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "96618201",
"identifier": "NETWORK",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Chelmsford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.