MARY L. SIMBARCELOS (NPI# 1497053144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497053144 |
| Entity Type | Individual |
| Full Name | MARY L. SIMBARCELOS |
| Credential | MS, LPC |
| Practice Address |
431 W. Pine St. Pinedale WY 82941 |
| Mailing Address |
Po Box 1641 Pinedale WY 82941-1641 |
| Practice Telephone | 4025257509 |
| Practice Fax Number | 3073672864 |
| Mailing Telephone | 4025257509 |
| Mailing Fax Number | 3073672864 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
405 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1381 | WY | Behavioral Health & Social Service Providers |
| N | 102L00000X | Psychoanalyst | 1799 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MAGELLAN | 710765000 | 01 |
| NE | 10025915300 | 05 |
| Street Address |
431 W. PINE ST. |
| City | PINEDALE |
| State | WY |
| Zip Code | 82941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540794 | Sarah Peterson | Occupational Therapist | 317 N Faler Avenue, Pinedale, WY 82941 | 2020-08-25 |
| 1427600402 | Kelsi Marie Sluyter | Social Worker | 24 Country Club Ln, Pinedale, WY 82941 | 2019-07-10 |
| 1376100776 | Jason M Reasor | Counselor | 24 Country Club Ln., Pinedale, WY 82941 | 2019-05-22 |
| 1831624881 | Winds Physical Therapy LLC | Physical Therapist | 167 South Cole Ave, Pinedale, WY 82941 | 2017-04-27 |
| 1215346424 | Jennifer Jensen | Case Manager/Care Coordinator | 120 S Cole, Pinedale, WY 82941 | 2014-08-13 |
| 1952711384 | Rick Ditton | Social Worker | 798 S Fremont, Pinedale, WY 82941 | 2014-05-07 |
| 1770836553 | Adam Michael Stucki | Pharmacist | 341 E Pine St, Pinedale, WY 82941 | 2012-10-18 |
| 1295022820 | Joshua Howard Francis | Dentist | 51 E. North Street, Pinedale, WY 82941 | 2011-07-04 |
| 1902106628 | Sublette County Public Health | Registered Nurse | 619 E Hennick St, Pinedale, WY 82941 | 2010-10-28 |
| 1477786614 | John Thomas Johnston | Family Medicine | 8 Bakes Lane, Pinedale, WY 82941 | 2009-09-03 |
| Find all providers in zip 82941 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100776 | Jason M Reasor | Counselor | 24 Country Club Ln., Pinedale, WY 82941 | 2019-05-22 |
| 1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
| 1255993457 | Samantha Mackey | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2019-07-08 |
| 1639665557 | George Albert Martinez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2018-07-03 |
| 1487145116 | Alex Murillo-sotelo | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2018-05-30 |
| 1598252785 | Yolanda Ramos | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2018-04-13 |
| 1386158715 | Mayra Lopez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650 | 2017-11-21 |
| 1588185698 | Llarelic Ochoa | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2017-06-28 |
| 1528480761 | Cleide Klassen | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2014-01-07 |
| 1033454210 | Rosio Azua-valdez | Counselor | 40 E Minarets Ave, Pinedale, CA 93650-1239 | 2012-11-29 |
| Find all providers in PINEDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.