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WILLIAM SIMON
NPI 1003193657
Counselor - Mental Health in North Bend, OR

Active since November 10, 2011PECOS Enrolled
1592 MONROE ST, NORTH BEND, OR 97459(541) 756-2048(541) 756-2058 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 20, 2016, Feb 18, 2016 (2 updates tracked since 2016).

About William Simon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM SIMON (NPI 1003193657) is an individual mental health provider in North Bend, Oregon and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003193657
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIAM SIMON
Location Address1592 MONROE STNorth Bend, OR 97459-3657
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 756-2048
Fax(541) 756-2058
Sole ProprietorNo
Enumeration DateNovember 10, 2011
Last NPPES UpdateOctober 20, 20162 updates tracked since enumeration
✔ NPI 1003193657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1592 MONROE ST, North Bend, OR 97459
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Simon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coos County Oregon
2.1 mi
Clinic/Center
281 LACLAIR STREET
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 24 clinicians in this Medicare group
NPI 1811981053 (541) 266-6700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA VELASQUEZ
Peer Specialist
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
KELLY ANDREA MANZ
Registered Nurse (Psychiatric/Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
KORTNEY KAYLA ROSE COOLIDGE
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
BETTY JO THURMAN
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 726-2048
PAUL CASTONGUAY
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
MELISSA BOYD
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
ROBERT ALAN JAMES
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048
CRYSTAL SCHOTT
Counselor (Mental Health)
1592 MONROE ST
NORTH BEND, OR 97459
Coos County (541) 756-2048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Simon's NPI number?

The NPI number for William Simon is 1003193657. It was assigned to this individual provider in the NPPES registry on November 10, 2011.

Where is William Simon located?

William Simon practices at 1592 Monroe St, North Bend, OR 97459. The listed phone number is (541) 756-2048.

What is William Simon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is William Simon enrolled in Medicare?

Yes. William Simon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Simon reassigns Medicare benefits to Coos County Oregon (Coos Bay, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Simon was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.