Active NPI
Katherine M Simmons, LMHC
- Mental Health Counselor
- South Easton, MA
National Provider Identifier
1063503563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5834
- Practice address
- 45 Eastman St
South Easton, MA 02375-1279 - Phone
- (508) 238-5766
- Fax
- (508) 238-8045
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5834 | MA | Primary |
Addresses
Primary practice location
45 Eastman St
South Easton, MA 02375-1279
Mailing address
302 Commercial St
#12
Braintree, MA 02184-3552
Phone (781) 848-1977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM1176 | Other | MA | BLUE COSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5834 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Bay Enterprises LLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- South Easton, MA
- NPI 1447395694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063503563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 COMMERCIAL ST",
"address_2": "#12",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021843552",
"telephone_number": "781-848-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 EASTMAN ST",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751279",
"telephone_number": "508-238-5766",
"fax_number": "508-238-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KATHERINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE COSS BLUE SHIELD",
"identifier": "LM1176",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.