| Kellie Marie Sims, | |
|
200 E 3rd St, Jamestown, NY 14701-5433 | |
| (716) 661-8330 | |
| Not Available |
| Full Name | Kellie Marie Sims |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 34 Years |
| Location | 200 E 3rd St, Jamestown, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790984748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001648 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Chautauqua - A Mun Corp | 1951380633 | 16 |
| Entity Name | Breakthrough Counseling Lcsw Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487351565 PECOS PAC ID: 2163881814 Enrollment ID: O20230629000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Marie Sims, 7 N Erie St, Mayville, NY 14757-1090 Ph: () - | Kellie Marie Sims, 200 E 3rd St, Jamestown, NY 14701-5433 Ph: (716) 661-8330 |
Jessica R Willett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St Ste 5, Jamestown, NY 14701 Phone: 716-661-8330 Fax: 716-753-4230 | |
Christina Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, 5th Floor, Jamestown, NY 14701 Phone: 716-753-4104 | |
Ned R. Lindstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Howard Ave, Jamestown, NY 14701 Phone: 724-396-1510 Fax: 724-972-4627 | |
Coleen M Golab, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2536 Carlson Rd, Jamestown, NY 14701 Phone: 814-490-6755 | |
Betty J Ridout, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330 | |
Sarah Rurycz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1590 | |
Toni L Castiglia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330 |