JACK D SIMONS


Address: 225 S Meramec Ave Ste 211, Saint Louis, MO 63105-3511
Phone: 6362368849

JACK D SIMONS (NPI# 1114225612) 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) 1114225612
Entity Type Individual
Full Name JACK D SIMONS
Credential LPC
Practice Address 225 S Meramec Ave Ste 211
Saint Louis
MO 63105-3511
Practice Telephone 6362368849
Mailing Telephone 6362368849
Enumeration Date 2011-03-07
Last Update Date 2011-03-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor LAC-12181 AZ Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
4430-125 WI Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
2010006422 MO Behavioral Health & Social Service Providers

Other Providers JACK SIMONS

NPI Name Taxonomy Address Enumeration
1902020936 Jack E Simons Emergency Medicine 2 Lochhaven Ln, Manchester, MO 63021-8020 2007-04-12

Office Location

Street Address 225 S MERAMEC AVE STE 211
City SAINT LOUIS
State MO
Zip Code 63105-3511

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1457849317 A Storied Life Counseling LLC Social Worker 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 2018-04-26
1669984142 Peter Bogart Counselor 7710 Carondelet, Suite #204, Saint Louis, MO 63105 2017-10-24
1356891162 Medical West Respiratory Pharmacy, LLC Pharmacy 440 South Brentwood Blvd, Clayton, MO 63105 2016-10-05
1710435565 James Breihan Occupational Therapist 401 Corporate Park Drive, Clayton, MO 63105 2016-09-21
1730566928 Frank Theus Counselor 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 2015-04-27
1962895896 John B Martin Obstetrics & Gynecology 312 N. Meramec #300, St. Louis, MO 63105 2015-03-17
1861814261 Jesse Marie Civello Physical Therapist 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 2014-01-20
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1407479207 Lauren Elizabeth Summers Counselor 6261 Reber Pl, Saint Louis, MO 63139-2617 2020-05-27
1306469960 Walter Robert Scull Counselor 1300 Kirkham Ave, Saint Louis, MO 63122-3127 2020-05-18
1982226759 David Mcgraw Counselor 28 Reasor Dr, Saint Louis, MO 63135-1125 2020-05-14
1992326565 Chantrell M Carter Counselor 5027 Mardel Ave, Saint Louis, MO 63109-1731 2020-05-05
1508486333 Evelyn Aviva Witten Counselor 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 2020-04-22
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Competitor

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City SAINT LOUIS
Zip Code 63105

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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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