Provider Demographics
NPI:1023165941
Name:SIMON, MARCI BETH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:BETH
Last Name:SIMON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:MARCI
Other - Middle Name:BETH
Other - Last Name:ORNSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:789 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3915
Mailing Address - Country:US
Mailing Address - Phone:617-888-3060
Mailing Address - Fax:
Practice Address - Street 1:789 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3915
Practice Address - Country:US
Practice Address - Phone:617-888-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health