Vanessa Rae Simon, MS, NCC, LPCC

Individual provider Active NPI Mental Health Counselor · White Earth, MN

NPI 1992655583 · NPPES record last updated Feb 2, 2026

Key facts

NPI
1992655583
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
5448 (MN)
Practice address
26246 Crane Rd
White Earth, MN 56591-9998
Phone
(218) 983-4703
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5448MNMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5448 MN Yes

Addresses

Primary practice location

26246 Crane Rd
White Earth, MN 56591-9998

Mailing address

21448 Fair Oaks Dr
Nevis, MN 56467-4352
Phone (218) 983-4703

Other providers in White Earth, MN

All providers in White Earth, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.