KEIANNA SIMON LMHC
NPI 1457042079
Counselor - Mental Health in Ft Lauderdale, FL
About Keianna Simon Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIANNA SIMON LMHC (NPI 1457042079) is an individual mental health provider in Ft Lauderdale, Florida, licensed in Florida (MH22196) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keianna Simon Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keianna Simon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Florida enrollment
- 3,079 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.
FORT LAUDERDALE, FL 33312
FORT LAUDERDALE, FL 33312
FT LAUDERDALE, FL 33312
FT LAUDERDALE, FL 33312
FORT LAUDERDALE, FL 33312
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 Keianna Simon's NPI number?
The NPI number for Keianna Simon is 1457042079. It was assigned to this individual provider in the NPPES registry on May 16, 2023.
Where is Keianna Simon located?
Keianna Simon practices at 3800 W Broward Blvd Ste 100, Ft Lauderdale, FL 33312. The listed phone number is (954) 587-1008.
What is Keianna Simon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Keianna Simon enrolled in Medicare?
Yes. Keianna Simon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keianna Simon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keianna Simon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Keianna Simon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keianna Simon accept?
Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Keianna 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 Keianna Simon was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Keianna Simon, LMHC · NPI 1457042079
Mental Health provider in Ft Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since May 16, 2023.
## Identity
- **NPI:** 1457042079 (Entity type: Individual)
- **Enumerated:** May 16, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH22196 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3800 W BROWARD BLVD STE 100, Ft Lauderdale, FL 33312-1018
- **Phone:** (954) 587-1008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457042079) · Data from the CMS NPPES public registry.