DESIREE MIA SIMON (NPI# 1558569046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558569046 |
| Entity Type | Individual |
| Full Name | DESIREE MIA SIMON |
| Practice Address |
4455 Ne Highway 20 Corvallis OR 97330-9695 |
| Mailing Address |
1535 Salmon Run Sw Albany OR 97321 |
| Practice Telephone | 5417571852 |
| Mailing Telephone | 5419670254 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| Street Address |
4455 NE HIGHWAY 20 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790884690 | Timothy Joseph Catlow | Psychologist | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2006-09-21 |
| 1609477561 | Brock Van Dyke | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1518568476 | Julia Di Simone | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1336740299 | Sabrina Michelle Watkins | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1245831106 | Hope Trautman | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-05 |
| 1932700028 | Hayley Boss | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-04 |
| 1477154714 | Ashley Merback | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1396346631 | Mikayla Alberta Calvery | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1750982096 | Christine Turner | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| 1831790179 | Madison Elysse Weekly | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408580 | Melissa Chamberlin | Counselor | 230 Sw 3rd St Ste 208a, Corvallis, OR 97333-4651 | 2020-05-14 |
| 1770126930 | Shiyu Geng | Counselor | 4823 Sw Roseberry St, Corvallis, OR 97333-1363 | 2019-10-21 |
| 1891298451 | David Seltzer | Counselor | 865 Nw Reiman Avenue, Corvallis, OR 97330-6177 | 2018-03-09 |
| 1295236792 | Edwar Jose Fernando Estupinian | Counselor | 139 Sw 3rd St, Corvallis, OR 97333-4713 | 2018-02-21 |
| 1598145633 | Tracie J Eoff | Counselor | 520 Nw 27th St, Corvallis, OR 97330-5223 | 2015-06-03 |
| 1700289915 | Rebekah Lancelin | Counselor | 865 Nw Reiman St, Corvallis, OR 97330-6177 | 2014-10-01 |
| 1386056778 | Christi Elizabeth Sears | Counselor | 425 Sw Madison Ave Ste M-1, Corvallis, OR 97333-4799 | 2014-05-20 |
| 1689004335 | Amy Ruth Crevola | Counselor | 980 Nw Spruce Ave, Corvallis, OR 97330 | 2013-11-16 |
| 1962834416 | Thomas Berrey | Counselor | 3989 Nw Tillicum Pl, Corvallis, OR 97330-3325 | 2013-08-07 |
| 1982045431 | Joanne Dickson-self | Counselor | 4455 U.s 20, Corvallis, OR 97330 | 2013-07-12 |
| Find all providers in CORVALLIS | ||||
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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.