METAXAS SIMON LPC
NPI 1265034557
Counselor - Professional in Livonia, MI

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
29550 FIVE MILE RD, LIVONIA, MI 48154(800) 395-3223 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Metaxas Simon Lpc NPPES

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

METAXAS SIMON LPC (NPI 1265034557) is an individual professional provider in Livonia, Michigan, licensed in Michigan (6401011383) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265034557
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMETAXAS SIMONCredential: LPC
Location Address29550 FIVE MILE RDLivonia, MI 48154-3710
Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (800) 395-3223
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1265034557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401011383
29550 FIVE MILE RD, Livonia, MI 48154

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Metaxas Simon Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951752112
PECOS Enrollment IDI20240111004282
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 Metaxas Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
6549 TOWN CENTER DR, SUITE A
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group

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.

Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Counselor (Professional)
29550 FIVE MILE RD
LIVONIA, MI 48154
Psychologist (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Social Worker (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Social Worker (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154

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 Metaxas Simon's NPI number?

The NPI number for Metaxas Simon is 1265034557. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Metaxas Simon located?

Metaxas Simon practices at 29550 Five Mile Rd, Livonia, MI 48154. The listed phone number is (800) 395-3223.

What is Metaxas Simon's specialty?

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

Is Metaxas Simon enrolled in Medicare?

Yes. Metaxas Simon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Metaxas Simon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Metaxas Simon reassigns Medicare benefits to Ismail B. Sendi, MD, PC (Clarkston, MI). 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 Metaxas Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Metaxas Simon accept?

Health plans from Priority Health list Metaxas 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 Metaxas Simon was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.