MRS. SAMANTHA ANN SIMMONS LPCC LCADC NPI 1629123625

NPI Information

NPI: 1629123625
Provider Name: MRS. SAMANTHA ANN SIMMONS, LPCC, LCADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
80 ROLLING HILLS BLVD
MONTICELLO, KY
ZIP 42633
Phone: (066) 343-0216
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MRS. Samantha Ann Simmons, LPCC, LCADC is a mental health counselor in Monticello, KY. MRS. Samantha Ann Simmons, LPCC, LCADC NPI is 1629123625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

80 ROLLING HILLS BLVD
MONTICELLO, KY
ZIP 42633-005
Phone: (066) 343-0216
Fax: (606) 343-0224

The NPI 1629123625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	166494	KENTUCKY	No
2	101YP2500X	Counselor	Professional	105683	KENTUCKY	No
3	101YM0800X	Counselor	Mental Health	834	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30615058	MEDICAID	KENTUCKY
2	7100277600	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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