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SIMON CROUCH
NPI 1639653918
Counselor - Professional in Paducah, KY

Active since September 21, 2018PECOS Enrolled
425 BROADWAY ST STE 101, PADUCAH, KY 42001(270) 442-7121 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Apr 24, 2024, Dec 6, 2023 and 1 more (4 updates tracked since 2018).

About Simon Crouch NPPES

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

SIMON CROUCH (NPI 1639653918) is an individual professional provider in Paducah, Kentucky, licensed in Kentucky (243317) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639653918
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSIMON CROUCH
Location Address425 BROADWAY ST STE 101Paducah, KY 42001-0713
Mailing Address3621 Brighton CvPaducah, KY 42001-5215 · (270) 864-6742
Phone(270) 442-7121
Sole ProprietorNo
Enumeration DateSeptember 21, 2018
Last NPPES UpdateJune 10, 20244 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1639653918 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 KY · 243317
425 BROADWAY ST STE 101, Paducah, KY 42001
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Crouch 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.

Other Providers at the Same Location NPPES 7

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

ANDREW BELL CSWT
Social Worker
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-7121
EMILY BREANN BELT BA
Counselor
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-9767
CASSIDY E LUKER
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-7121
MRS. RENE DAWSON B.A.
Counselor (Mental Health)
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 349-5626
CHRISTOPHER BAKER LPA
Counselor (Professional)
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-7121
CLARA G LOGAN CSWT
Social Worker
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-7121
DEREK WILLIAM RATLIFF APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
425 BROADWAY ST STE 101
PADUCAH, KY 42001
McCracken County (270) 442-7121

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 Simon Crouch's NPI number?

The NPI number for Simon Crouch is 1639653918. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Simon Crouch located?

Simon Crouch practices at 425 Broadway St Ste 101, Paducah, KY 42001. The listed phone number is (270) 442-7121.

What is Simon Crouch's specialty?

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

Is Simon Crouch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Simon Crouch was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.