Simardeep Bhaurla, LPCC
Rehabilitation Counselor in Palo Alto, CA. Individual provider (NPI-1).
NPI number1669964730
StatusActive
Last updated in NPPESSep 20, 2023
Details
- NPI
- 1669964730
- Entity type
- Individual (NPI-1)
- Name
- Simardeep Bhaurla
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Certification date
- Sep 20, 2023
- Last updated
- Sep 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225C00000X | Rehabilitation Counselor | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
4139 El Camino WayPalo Alto, CA 94306-4010
Phone 650-484-1376
Mailing address
1922 The AlamedaSan Jose, CA 95126-1457
Phone 650-484-1376
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