Individual provider Active NPI

Cynthia Simmons, LCSW

  • Mental Health Counselor
  • Reedsport, OR
National Provider Identifier
1043610660
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
L8409 Issued in OR
Practice address
464 Fir Ave
Reedsport, OR 97467-1427
Phone
(541) 271-0060
Fax
(541) 440-3554
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L8409 OR Primary

Addresses

Primary practice location

464 Fir Ave
Reedsport, OR 97467-1427

Mailing address

PO Box 1287
Winchester Bay, OR 97467-0813
Phone (541) 271-0060

Other names 1

  • Cindy Simmons Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629002071 OR Practitioner - Clinical Social Worker 7214362813 Practice locations: Reedsport, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

464 Fir Ave
Reedsport, OR 97467-1427
Phone (541) 271-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1043610660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1287",
            "city": "WINCHESTER BAY",
            "state": "OR",
            "postal_code": "974670813",
            "telephone_number": "541-271-0060",
            "fax_number": "541-982-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 FIR AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974671427",
            "telephone_number": "541-271-0060",
            "fax_number": "541-440-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L8409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "SIMMONS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reedsport, OR

Sources for this page

Verify at the official NPI Registry.