MR. SIM MCIVER JR. (NPI# 1659427789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659427789 |
| Entity Type | Individual |
| Full Name | MR. SIM MCIVER JR. |
| Practice Address |
1724 Roxie Ave Fayetteville NC 28304-1623 |
| Practice Telephone | 9102226022 |
| Mailing Telephone | 9102226022 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1724 ROXIE AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694481 | Aaron Avrum Brodsky | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2006-01-26 |
| 1063041259 | Leon Kentrelle Williams | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2020-04-08 |
| 1801451216 | Recovery Innovations, Inc | Community/Behavioral Health | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2019-05-01 |
| 1720441165 | Richard Watson | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2016-04-02 |
| 1336558501 | Oretha Harris | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-08-12 |
| 1851702856 | Eddrena C Wiggins | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-05-13 |
| 1124443163 | Diana Wilma Avila | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-02-27 |
| 1740537638 | Elizabeth Rae Bakisae Albright | Physician Assistant | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2012-08-09 |
| 1720384423 | Cumberland Co. Hospital System Inc | Psychiatric Unit | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2011-01-28 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576352 | Bianca Faith Monroe | Counselor | 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 | 2020-10-23 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1760032239 | Peyton Elaine Smith | Counselor | 2403 Main Dr Ste 1&2, Fayetteville, AR 72704-5223 | 2019-09-17 |
| 1467014746 | Tennille Kristine Wilson | Counselor | 6415 Camden Rd Ste 109, Fayetteville, NC 28306-7584 | 2019-07-08 |
| 1366914004 | Katie Frankum | Counselor | 6805 Woodmark Dr, Fayetteville, NC 28314-6458 | 2018-12-19 |
| 1588132534 | Sara Penney | Counselor | 351 Wagoner Dr Ste 135, Fayetteville, NC 28303-4608 | 2018-11-07 |
| 1578045589 | Tamara Smith Thom | Counselor | 2307 Cumberland Gap Dr, Fayetteville, NC 28306-6940 | 2018-09-06 |
| 1003393968 | Melissa Stone Martinez | Counselor | 175 Bradford Sq Ste D, Fayetteville, GA 30215-1967 | 2018-07-24 |
| 1629561568 | Hamlin Glover Consulting Group, LLC | Counselor | 3681 Raeburn Ct, Fayetteville, NC 28314-2623 | 2018-06-13 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.