Healthcare Provider Details

I. General information

NPI: 1255876009
Provider Name (Legal Business Name): DREW SIMRI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ANDREW SIMENDINGER

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10979 REED HARTMAN HWY STE 117
BLUE ASH OH
45242-2857
US

IV. Provider business mailing address

10979 REED HARTMAN HWY STE 117
BLUE ASH OH
45242-2857
US

V. Phone/Fax

Practice location:
  • Phone: 513-468-6454
  • Fax:
Mailing address:
  • Phone: 513-468-6454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1800786
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number270987
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number161118
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC 1300768
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: