KELLIE MARIE SIMS
NPI 1790984748
Counselor - Mental Health in Jamestown, NY

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
200 E 3RD ST, JAMESTOWN, NY 14701(716) 661-8330 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Marie Sims NPPES

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

KELLIE MARIE SIMS (NPI 1790984748) is an individual mental health provider in Jamestown, New York, licensed in New York (001648) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1790984748
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE MARIE SIMS
Location Address200 E 3RD STJamestown, NY 14701-5433
Mailing Address7 N Erie StMayville, NY 14757-1090
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 11, 2007
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1790984748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 001648
200 E 3RD ST, Jamestown, NY 14701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kellie Marie Sims 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 ID6608215934
PECOS Enrollment IDI20240418002607
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 20

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

Counselor
200 E 3RD ST, 5TH FLOOR
JAMESTOWN, NY 14701
Social Worker (Clinical)
200 E 3RD ST, 5TH FLOOR
JAMESTOWN, NY 14701
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701
Counselor (Mental Health)
200 E 3RD ST
JAMESTOWN, NY 14701
Registered Nurse (Psychiatric/Mental Health)
200 E 3RD ST, 5TH FLOOR, CITY HALL
JAMESTOWN, NY 14701
Student in an Organized Health Care Education/Training Program
200 E 3RD ST
JAMESTOWN, NY 14701
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701

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 Kellie Sims's NPI number?

The NPI number for Kellie Sims is 1790984748. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Kellie Sims located?

Kellie Sims practices at 200 E 3rd St, Jamestown, NY 14701. The listed phone number is (716) 661-8330.

What is Kellie Sims's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kellie Sims enrolled in Medicare?

Yes. Kellie Sims 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.

When was this NPI record last updated?

The NPPES record for Kellie Sims was last updated on February 20, 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.