Theresa Simmons

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THERESA SIMMONS

Practice address

11 Castle Way
Carson City, NV 89706-1932

Phone

(775) 720-4284

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Miss Theresa Lynn Simmons, BSW, MTPNPI 1790020550

Title

Owner

Phone

(775) 720-4284

Specialties & licenses 1

Addresses

Other names 1

• Divine Gaia Transpersonal Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa L Simmons

  • Community/Behavioral Health Agency
  • Carson City, NV
  • NPI 1790020550
  NPD (past) Authorized official

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1134499015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CASTLE WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061932",
            "telephone_number": "775-720-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CASTLE WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061932",
            "telephone_number": "775-720-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA SIMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-720-4284",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSW, MTP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Gaia Transpersonal Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Health Lab, LLC
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• The Nevada Center
• Thi of Nevada at Carson LLC
• Thi of Nevada at Carson LLC
• Thomas King Halow MDS LTD
• Emma Thomas, CRNA
• William H Thomas, MD

• Community/Behavioral Health Agency in Carson City, NV
• Providers in Carson City, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.