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

Active since July 11, 2007PECOS Enrolled
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: October 18, 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
Phone(716) 661-8330
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Marie Sims is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kellie Sims reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Breakthrough Counseling, Lcsw
0.3 mi
Mental Health
515 PINE ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1487351565 (716) 201-0015
County Of Chautauqua - A Mun Corp
0.3 mi
Mental Health (Including Community Mental Health Center)
200 E 3RD ST STE 5
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1902897374 (716) 661-8330

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.

CHRISTINA MARSH
Counselor
200 E 3RD ST, 5TH FLOOR
JAMESTOWN, NY 14701
Chautauqua County (716) 753-4104
MELISSA PIETRKIEWICZ
Social Worker (Clinical)
200 E 3RD ST, 5TH FLOOR
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330
BETTY J RIDOUT
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330
TONI L CASTIGLIA
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330
BELINDA O'CONNOR
Counselor (Mental Health)
200 E 3RD ST
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330
MRS. DEENA R CAMPAIGN RNBC
Registered Nurse (Psychiatric/Mental Health)
200 E 3RD ST, 5TH FLOOR, CITY HALL
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8333
MS. KRISTEN BETH ERNEWEIN
Student in an Organized Health Care Education/Training Program
200 E 3RD ST
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330
BRIAN D SCARSONE
Counselor (Addiction (Substance Use Disorder))
200 E 3RD ST
JAMESTOWN, NY 14701
Chautauqua County (716) 661-8330

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 enrollment system.

Which organizations bill Medicare for Kellie Sims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Sims reassigns Medicare benefits to 2 organizations: Breakthrough Counseling, Lcsw (Jamestown, NY) and County Of Chautauqua - A Mun Corp (Jamestown, NY). Each 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 Kellie Sims'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 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.