| Christa U. Simons Ma, Lpc | |
|
81 Conkling St Basking Ridge NJ 07920-1768 | |
| (908) 274-1608 | |
| Not Available |
| Full Name | Christa U. Simons Ma, Lpc |
|---|---|
| Speciality | Counselor |
| Location | 81 Conkling St, Basking Ridge, New Jersey |
| Authorized Official Name and Position | Christa U. Simons (OWNER) |
| Authorized Official Contact | 9082741608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christa U. Simons Ma, Lpc 81 Conkling St Basking Ridge NJ 07920-1768 Ph: (908) 274-1608 | Christa U. Simons Ma, Lpc 81 Conkling St Basking Ridge NJ 07920-1768 Ph: (908) 274-1608 |
| NPI Number | 1811345804 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Medicare PECOS PAC ID | 1658892351 |
|---|---|
| Medicare Enrollment ID | O20250311001493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811345804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00545900 (New Jersey) | Primary |
| Provider Name | Christa U. Simons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336502673 PECOS PAC ID: 2567983265 Enrollment ID: I20250311001794 |
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