Provider Demographics
NPI:1306237367
Name:SIMONIC, RAMANDA (PSYD, LCPC, CADC)
Entity type:Individual
Prefix:DR
First Name:RAMANDA
Middle Name:
Last Name:SIMONIC
Suffix:
Gender:F
Credentials:PSYD, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W CASS ST
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60432-4116
Mailing Address - Country:US
Mailing Address - Phone:815-727-2830
Mailing Address - Fax:815-727-4039
Practice Address - Street 1:12 W CASS ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-4116
Practice Address - Country:US
Practice Address - Phone:815-727-2830
Practice Address - Fax:815-727-4039
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008753101Y00000X, 101YM0800X, 101YP2500X
IL30510101YA0400X
IL180-008753106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist