Individual provider Active NPI

Jennifer L Simmons, MS, LMFT

  • Marriage & Family Therapist
  • Lafayette, IN
National Provider Identifier
1134530918
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone
(765) 423-2638
Fax
(765) 742-4196
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

415 N 26TH St Ste 201
Lafayette, IN 47904-2856

Mailing address

415 N 26TH St Ste 201
Lafayette, IN 47904-2856
Phone (765) 423-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240524001974 IN Practitioner - Marriage and Family Therapist 6709233521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Apr 17, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Apr 17, 2024 Accepting new patients
Cummins Behavioral Health Systems, Incorporated PastSince Nov 5, 2015 Accepting new patients

Locations

41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187

1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852

1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

2111 Teal Rd
Lafayette, IN 47905
Phone (765) 446-6562

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183

920 W Executive Ct
Monticello, IN 47960
Phone (574) 583-7997

131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194

5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1134530918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-423-2638",
            "fax_number": "765-742-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 201",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042856",
            "telephone_number": "765-423-2638",
            "fax_number": "765-742-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.