Active NPI
Andrea Marie Simmons, MS-CCC-SLP
- Speech-Language Pathologist
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2012038591
- Practice address
- 523 Crystal Stream Dr
Wentzville, MO 63385-3764 - Phone
- (314) 302-8798
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2012038591 | MO | Primary |
Addresses
Primary practice location
523 Crystal Stream Dr
Wentzville, MO 63385-3764
Mailing address
523 Crystal Stream Dr
Wentzville, MO 63385-3764
Phone (314) 302-8798
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES SLP MO LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | FOX REHABILITATION SERVICES SLP MO LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Washington, MO 63090
Phone (877) 407-3422
10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012038591 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services SLP Mo LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
3330 Ehlmann Rd
Saint Charles, MO 63301
Phone (636) 205-1056
10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845
1650 High St
Washington, MO 63090
Phone (636) 390-3290
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Saint Charles, MO
- NPI 1639794613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1013435965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 CRYSTAL STREAM DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853764",
"telephone_number": "314-302-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 CRYSTAL STREAM DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853764",
"telephone_number": "314-302-8798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "MS-CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2012038591",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES SLP MO LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10199 Woodfield Ln",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631322922",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "FOX REHABILITATION SERVICES SLP MO LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1650 High St",
"city": "Washington",
"state": "MO",
"country_code": "US",
"postal_code": "630904365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.