Active NPI
Simson, Wynn and Williams
- Mental Health Counselor
- Fair Oaks, CA
National Provider Identifier
1982954269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT28031
- Legal business name
- SIMSON, WYNN AND WILLIAMS
- Practice address
- 7844 Madison Ave.,
Suite 106
Fair Oaks, CA 95628 - Phone
- (916) 476-6301
- NPI assigned
- Sep 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Wynn, DRAD
- Title
- Partner
- Phone
- (916) 476-6301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RAS #W0702211501 | CA | |
| Mental Health Counselor | 101YM0800X | MFT28031 | CA | Primary |
Addresses
Primary practice location
7844 Madison Ave.,
Suite 106
Fair Oaks, CA 95628
Mailing address
7844 Madison Ave.,
Suite 106
Fair Oaks, CA 95628
Phone (916) 476-6301
Other names 1
- Welcome
National Provider Directory
National Provider Directory- Tax ID family
- Simson Wynn and Williams
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fair Oaks, CA
- NPI 1003165580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347580800000",
"number": "1982954269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7844 MADISON AVE.,",
"address_2": "SUITE 106",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "95628",
"telephone_number": "916-476-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7844 MADISON AVE.,",
"address_2": "SUITE 106",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "95628",
"telephone_number": "916-476-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMSON, WYNN AND WILLIAMS",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A",
"authorized_official_last_name": "WYNN",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "916-476-6301",
"authorized_official_credential": "DRAD"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RAS #W0702211501",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT28031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Welcome",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.