Keianna Simon, LMHC in Ft Lauderdale, FL - Medicare Counselor Provider

Keianna Simon, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Ft Lauderdale, Florida. Her current practice location is 3800 W Broward Blvd Ste 100, Ft Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 587-1008.

Keianna Simon is licensed to practice in Florida (license number MH22196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457042079.

Contact Information

	Keianna Simon, LMHC
	3800 W Broward Blvd Ste 100, Ft Lauderdale, FL 33312-1018
	(954) 587-1008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keianna Simon
Gender	Female
Speciality	Counselor - Mental Health
Location	3800 W Broward Blvd Ste 100, Ft Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457042079
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1951750025
Enrollment ID: I20231214001885

Medical Identifiers

Medical identifiers for Keianna Simon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457042079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH22196 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keianna Simon allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Shardae Tripp Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801583646 PECOS PAC ID: 5496101784 Enrollment ID: O20231023002182

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keianna Simon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keianna Simon, LMHC 867 Ne Whistling Duck Way, Port Saint Lucie, FL 34983-3538 Ph: (718) 360-7742	Keianna Simon, LMHC 3800 W Broward Blvd Ste 100, Ft Lauderdale, FL 33312-1018 Ph: (954) 587-1008

Reviews and Comments

Counselor in Ft Lauderdale, FL

Sidney Marc Cherelus, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 S Perimeter Rd, Suite 120, Ft Lauderdale, FL 33309 Phone: 954-958-0988
Dr. John R. Wallis, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1417 Se 4th St, Ft Lauderdale, FL 33301 Phone: 954-463-2273 Fax: 954-779-1643
Candace Hamilton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2536 Sugarloaf Ln, Ft Lauderdale, FL 33312 Phone: 954-296-7161
Hubert Christopher Dauphin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 Phone: 954-835-5741
Mrs. Pamela Ann Johnson, LCSW, CAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Middle St, Ft Lauderdale, FL 33312 Phone: 954-831-1547
Karen Hochman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 S Perimeter Rd, Ft Lauderdale, FL 33309 Phone: 954-958-0988
Amber Austin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2717 W Cypress Creek Rd, Ft Lauderdale, FL 33309 Phone: 954-979-7911

Keianna Simon, LMHC - Medicare Counselor in Ft Lauderdale, FL