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XAVIER KENNEDY SIMON LPC
NPI 1093595126
Counselor - Professional in Houston, TX

Active since October 05, 2023PECOS Enrolled
9111 WILLOW MEADOW DR, HOUSTON, TX 77031(713) 471-5116 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2025, Oct 5, 2023 (2 updates tracked since 2023).

About Xavier Kennedy Simon Lpc NPPES

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

XAVIER KENNEDY SIMON LPC (NPI 1093595126) is an individual professional provider in Houston, Texas, licensed in Texas (93146) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093595126
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameXAVIER KENNEDY SIMONCredential: LPC
Location Address9111 WILLOW MEADOW DRHouston, TX 77031-1121
Mailing Address9111 Willow Meadow DrHouston, TX 77031-1121 · (713) 471-5116
Phone(713) 471-5116
Sole ProprietorYes
Enumeration DateOctober 5, 2023
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1093595126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 93146
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 93146 (TX)
9111 WILLOW MEADOW DR, Houston, TX 77031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xavier Kennedy Simon Lpc 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 Xavier Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texana Center
17 mi
Multi-Specialty
4910 AIRPORT AVE BLDG D
Rosenberg, TX 77471
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group
NPI 1912954058 (281) 239-1369

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

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 Xavier Simon's NPI number?

The NPI number for Xavier Simon is 1093595126. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Xavier Simon located?

Xavier Simon practices at 9111 Willow Meadow Dr, Houston, TX 77031. The listed phone number is (713) 471-5116.

What is Xavier Simon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Xavier Simon enrolled in Medicare?

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

Which organization bills Medicare for Xavier Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xavier Simon reassigns Medicare benefits to Texana Center (Rosenberg, TX). 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 Xavier Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Xavier Simon accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Xavier Simon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Xavier Simon was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.