MRS. ELIZABETH SIMON SIMON


Address: 9193 S Greenridge Ln, Bloomington, IN 47401-9015
Phone: 8123617053

MRS. ELIZABETH SIMON SIMON (NPI# 1841832938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841832938
Entity Type Individual
Full Name MRS. ELIZABETH SIMON SIMON
Credential LCAC
Practice Address 9193 S Greenridge Ln
Bloomington
IN 47401-9015
Practice Telephone 8123617053
Mailing Telephone 8123617053
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
87001618A IN Behavioral Health & Social Service Providers

Office Location

Street Address 9193 S GREENRIDGE LN
City BLOOMINGTON
State IN
Zip Code 47401-9015

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1851917728 Courtney Caryl Breyer Counselor 1701 American Blvd E Ste 4, Bloomington, MN 55425-1402 2020-06-17
1396220703 Elizabeth Michelle Utterback Counselor 4633 W Richland Plaza Dr, Bloomington, IN 47404-9776 2018-10-02
1003316720 William Douglas Portis Counselor 808 S Eldorado Rd Ste 100c, Bloomington, IL 61704-6075 2018-02-19
1346601804 Colette Maureen Bisanz-haas Counselor 9301 Bryant Ave S Ste 107, Bloomington, MN 55420-3438 2016-03-11
1952791733 Ryan Conway Counselor 900 E 7th St, M005, Bloomington, IN 47405-3905 2015-01-30
1629487749 Deborah C Wilkin Counselor 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 2014-08-04
1518208206 Jeremy Keith Davis Counselor 8200 Humboldt Ave S Ste 100, Bloomington, MN 55431-1433 2013-03-06
1053691717 Finding Your Path To Freedom Counselor 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701-5881 2011-08-25
1528376985 Countermeasures, Inc. Counselor 110 N. Center, Bloomington, IL 61701-5002 2010-09-20
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Competitor

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City BLOOMINGTON
Zip Code 47401

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Dataset Information

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.

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