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SIMARDEEP BHAURLA LPCC
NPI 1669964730
Rehabilitation Counselor in Palo Alto, CA

Active since June 04, 2018PECOS Enrolled
4139 EL CAMINO WAY, PALO ALTO, CA 94306(650) 484-1376 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, Jun 24, 2021 (2 updates tracked since 2021).

About Simardeep Bhaurla Lpcc NPPES

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

SIMARDEEP BHAURLA LPCC (NPI 1669964730) is an individual rehabilitation counselor in Palo Alto, California and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669964730
Entity TypeIndividualFemale
Primary Taxonomy225C00000X
Provider Legal NameSIMARDEEP BHAURLACredential: LPCC
Location Address4139 EL CAMINO WAYPalo Alto, CA 94306-4010
Mailing Address1922 The AlamedaSan Jose, CA 95126-1457 · (650) 484-1376
Phone(650) 484-1376
Sole ProprietorNo
Enumeration DateJune 4, 2018
Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1669964730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225C00000X
Definition
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4139 EL CAMINO WAY, Palo Alto, CA 94306
Open in Google Maps ↗

Other Identifiers 1

OtherN05293Medical

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simardeep Bhaurla Lpcc 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 Simardeep Bhaurla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
7.5 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

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.

ELIZABETH CAMPOS
Case Manager/Care Coordinator
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 617-8340
SARAH YVONNE MUELLER-IMMERGLUCK
Peer Specialist
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 999-7069
DAVID MORRIS
Student in an Organized Health Care Education/Training Program
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 617-8340
MARIA GUADALUPE ARRIOLA
Case Manager/Care Coordinator
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (669) 213-7801
SAVANNAH BILLINGS EMT-B
Emergency Medical Technician, Basic
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 999-7069
SONIA VERMA
Student in an Organized Health Care Education/Training Program
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 617-8340
KIANNA MADISON SAGE ARRIARAN
Student in an Organized Health Care Education/Training Program
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 617-8340
MS. JENIFER ANN MOSCONE MANZANEDO AMFT
Marriage & Family Therapist
4139 EL CAMINO WAY
PALO ALTO, CA 94306
Santa Clara County (650) 617-8340

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 Simardeep Bhaurla's NPI number?

The NPI number for Simardeep Bhaurla is 1669964730. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Simardeep Bhaurla located?

Simardeep Bhaurla practices at 4139 El Camino Way, Palo Alto, CA 94306. The listed phone number is (650) 484-1376.

What is Simardeep Bhaurla's specialty?

The primary specialty registered for this NPI is Rehabilitation Counselor with taxonomy code 225C00000X.

Is Simardeep Bhaurla enrolled in Medicare?

Yes. Simardeep Bhaurla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Simardeep Bhaurla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simardeep Bhaurla reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Simardeep Bhaurla'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 Simardeep Bhaurla was last updated on September 20, 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.