ENDIA DOMINIQUE SIMMONS CDCA NPI 1871180018

NPI Information

  • NPI: 1871180018
  • Provider Name: ENDIA DOMINIQUE SIMMONS, CDCA
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1271 CRESCENT HIEGHTS RD
    MARION, OH
    ZIP 43302
  • Phone: (740) 360-8910

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NPI Details

Endia Dominique Simmons, CDCA is an addiction (substance use disorder) counselor in Marion, OH. Endia Dominique Simmons, CDCA NPI is 1871180018. 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:

1271 CRESCENT HIEGHTS RD
MARION, OH
ZIP 43302
Phone: (740) 360-8910

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CDCA.75276OHIOYes

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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