MR. KEITH ALLAN SIMS JR. (NPI# 1659869998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659869998 |
| Entity Type | Individual |
| Full Name | MR. KEITH ALLAN SIMS JR. |
| Credential | BA, CAP |
| Practice Address |
380 Sw 12th Ave Pompano Beach FL 33069-3502 |
| Practice Telephone | 9547829774 |
| Practice Fax Number | 9547823843 |
| Mailing Telephone | 9547829774 |
| Mailing Fax Number | 9547823843 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962478396 | Keith S. Sims | Nurse Anesthetist, Certified Registered | Medical Park #8, #200, Columbia, SC 29203 | 2006-02-25 |
| 1700289634 | Keith L. Sims | Counselor | 661 Seminola Blvd, Casselberry, FL 32707-3057 | 2014-10-06 |
| 1194157636 | Keith A Sims | Social Worker | 91 W Mound St, Nashville, IN 47448-7049 | 2013-08-07 |
| Street Address |
380 SW 12TH AVE |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33069-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780890327 | Metro Treatment of Florida, Lp | Community/Behavioral Health | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2007-05-14 |
| 1629556386 | Drucilla Warren | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-08-03 |
| 1831676477 | Dean Omowale Sababu | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-07-26 |
| 1942798038 | Francisca Gilene Millet | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-04-25 |
| 1366930596 | Altraveise Melvina Smith | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-04-24 |
| 1659869907 | Kevin Collier | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-04-23 |
| 1770071029 | Claudine Jean-louis | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-04-23 |
| 1609363993 | Jonathan David Leopoldo | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1427619253 | Julio Salas | Dentist | Bcfhc Dental Office, 162 North Powerline Road, Pompano Beach, FL 33069 | 2019-06-24 |
| 1104327758 | Otanys Garcia Hernandez | Behavior Technician | 3433 Sands Habor Trace, Pompano Beach, FL 33069 | 2018-02-27 |
| 1497271209 | Angel A Martinez | Nursing Care | 3235 Nw 2nd St, Unit 104, Pompano Beach, FL 33069 | 2017-08-15 |
| 1134666274 | Michele Nadine Innocent | Nurse Practitioner | 2031 Nw 6th Court, Pompano Beach, FL 33069 | 2017-01-27 |
| 1942743554 | Certified Spine and Pain Care | Pain Medicine | 150 Sw 12th Ave Ste 101a, Pompano Beach, FL 33069 | 2016-11-30 |
| 1245691641 | Patrick Arends | Registered Nurse | 2500 Nw Manor, Pompano Beach, FL 33069 | 2016-03-11 |
| 1962862011 | Ashley Minkus | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-03-02 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| 1588949382 | Gary Wayne Foulk | Pharmacist | 2401 W Atlantic Blvd, Pompano Beach, FL 33069 | 2011-10-13 |
| Find all providers in zip 33069 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1528697232 | Sachi Ananda LLC | Counselor | 111 Briny Ave Apt 2605, Pompano Beach, FL 33062-5669 | 2020-04-04 |
| 1003337676 | Mary Nelms | Counselor | 2832 Ne 13th Ave, Pompano Beach, FL 33064-6805 | 2017-07-04 |
| 1902254006 | Stuart Lyle Azoulay | Counselor | 1510 Sw 4th Ave, Pompano Beach, FL 33060-9002 | 2016-05-31 |
| 1811353568 | Denisse Knorr | Counselor | 137 Ne 7th St, Pompano Beach, FL 33060-6133 | 2016-01-11 |
| 1205245958 | Anthony Smith | Counselor | 4120 Ne 2nd Ave, Pompano Beach, FL 33064-3508 | 2014-08-07 |
| 1194155465 | Dione Massicot De Pooter | Counselor | 2300 W Sample Rd, Suite 102, Pompano Beach, FL 33073-3080 | 2013-11-22 |
| 1649562562 | Laura E. Booth | Counselor | 5131 Ne 19th Ter, Pompano Beach, FL 33064-5635 | 2011-05-11 |
| 1871720144 | Tamela J Stull- Drugan | Counselor | 100 E Sample Rd Ste 200, Pompano Beach, FL 33064-3554 | 2009-06-15 |
| 1831676477 | Dean Omowale Sababu | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-07-26 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33069 |
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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.