Justin Simmons, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4564 Issued in OK

Practice address

701 Cedar Lake Blvd Ste 120
Oklahoma City, OK 73114-7815

Phone

(405) 445-1210

Fax

(405) 445-3310

NPI assigned

Jun 1, 2011

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, KS2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group KS PAGroup PAC ID 5991228165, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Specialty Group KS, P.a.

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Wichita, KS
  • NPI 1063282390
  Medicare reassignment Care Compare group NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809

  KS

  Medicare reassignment NPD
• Advanced Resolutions Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1891587556

  Clinical

  NPD Authorized official
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• Making a Difference Inc.

  • Psychologist
  • Enid, OK
  • NPI 1003173691
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Edmond, OK
  • NPI 1629944459
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1053605659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N UNIVERSITY AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014654",
            "telephone_number": "580-541-9792",
            "fax_number": "580-701-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CEDAR LAKE BLVD STE 120",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147815",
            "telephone_number": "405-445-1210",
            "fax_number": "405-445-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 W OWEN K GARRIOTT RD",
            "address_2": "STE 4C",
            "address_purpose": "LOCATION",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035751",
            "country_code": "US",
            "telephone_number": "580-233-5900",
            "fax_number": "580-701-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Gott Rd",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737055103",
            "country_code": "US",
            "telephone_number": "580-213-6177",
            "fax_number": "580-213-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JUSTIN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "4564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200379060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jake Simmons
• James A Simmons, LPC
• James C Simmons, DDS
• Jordan Simmons, PH.D.
• Joseph Houston Simmons Sr.
• Kenisha Simmons
• Rhea A Simmons, LPC
• Shaquion Simmons
• Shelli R. Simmons
• Tiffney Simmons

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.