MRS. ELIZABETH SIMON LCAC
NPI 1841832938
Counselor - Addiction (Substance Use Disorder) in Bloomington, IN

Q: What is Elizabeth Simon's NPI number?

The NPI number for Elizabeth Simon is 1841832938. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Q: What is Elizabeth Simon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Simon was last updated on November 15, 2022. 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.

Active since October 10, 2019PECOS Enrolled

811 W 2ND ST, BLOOMINGTON, IN 47403(812) 333-4001 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2022, Oct 10, 2019 (2 updates tracked since 2019).

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About Mrs. Elizabeth Simon Lcac NPPES

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

MRS. ELIZABETH SIMON LCAC (NPI 1841832938) is an individual addiction (substance use disorder) provider in Bloomington, Indiana, licensed in Indiana (87001618A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1841832938

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. ELIZABETH SIMONCredential: LCAC

Location Address811 W 2ND STBloomington, IN 47403-2212

Mailing Address3403 E Raymond StIndianapolis, IN 46203-4744 · (317) 957-2000

Phone(812) 333-4001

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 10, 2019

Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration

NPPES CertifiedNovember 15, 2022

✔ NPI 1841832938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IN · 87001618A

811 W 2ND ST, Bloomington, IN 47403

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Other Identifiers 1

Medicaid300050689IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Simon Lcac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799123006

PECOS Enrollment IDI20240405001512

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 8

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

SHASHANKA NETHI M.B.B.S.

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