KENNETH SIMMONS NPI 1083070890

NPI Information

  • NPI: 1083070890
  • Provider Name: KENNETH SIMMONS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10617 KETTERING DR
    SUITE #216
    CHARLOTTE, NC
    ZIP 28226
  • Phone: (704) 761-8232

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NPI Details

Kenneth Simmons is a mental health counselor in Charlotte, NC. Kenneth Simmons NPI is 1083070890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10617 KETTERING DR
SUITE #216
CHARLOTTE, NC
ZIP 28226-729
Phone: (704) 761-8232
Fax: (704) 870-3259

The enumeration date for this NPI number is 1/8/2016 and was last updated on 1/8/2016.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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