Individual provider Active NPI

Takima Simmons, LPC-R, CSAC-S

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1144079781
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0704016096 Issued in VA
Practice address
1258 Holland Rd
Suffolk, VA 23434-6313
Phone
(800) 805-6989
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0704016096 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0709024802 VA
Professional Counselor 101YP2500X 0704016096 VA Primary
Mental Health Counselor 101YM0800X 0704016096 VA

Addresses

Primary practice location

1258 Holland Rd
Suffolk, VA 23434-6313

Mailing address

309 Beamons Mill TRL
Suffolk, VA 23434-2267
Phone (757) 660-9006

Other practice location 1

7025 Harbour View Blvd
Suffolk, VA 23435-2761
Phone (757) 508-7922

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

LicenseStateTypeSpecialty
0709024802VAMDAddiction (Substance Use Disorder) Counselor
0704016096VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1144079781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BEAMONS MILL TRL",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234342267",
            "telephone_number": "757-660-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 HOLLAND RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346313",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7025 Harbour View Blvd",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352761",
            "country_code": "US",
            "telephone_number": "757-508-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TAKIMA",
        "name_prefix": "Miss",
        "credential": "LPC-R, CSAC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0704016096",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0709024802",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704016096",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.