Bryan Nicholas Simmon, M.A., LPC
Individual provider Active NPI Professional Counselor · Johnsburg, IL
NPI 1124358585 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1124358585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.006445 (IL)
- Practice address
- 3510 Chapel Hill Rd
Johnsburg, IL 60051-2506 - Phone
- (877) 375-3484
- NPI assigned
- Jan 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006445 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.006445 | IL | Yes |
Addresses
Primary practice location
3510 Chapel Hill Rd
Johnsburg, IL 60051-2506
Mailing address
3510 Chapel Hill Rd
Johnsburg, IL 60051-2506
Phone (877) 375-3484
Other providers in Johnsburg, IL
- Dilan Shah
- Shamari Counseling and Mentoring
- Matthew David Sierzega
- Christine Silvestri
- Antoinette Simek
- Mary Kathleen Smerecky
- Stephanie M Smith
- Mackie A Snebold
- Michelle Speer
- Elizabeth Sweno
All providers in Johnsburg, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.