Individual provider Active NPI

Taquisa Katina Simmons, LCSW, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Chesapeake, VA
National Provider Identifier
1164535654
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710101902 Issued in VA
Practice address
212 Research Dr
Suite 102
Chesapeake, VA 23320-5984
Phone
(757) 673-8117
Fax
(757) 673-8127
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710101902 VA Primary
Clinical Social Worker 1041C0700X 0904006264 VA

Addresses

Primary practice location

212 Research Dr
Suite 102
Chesapeake, VA 23320-5984

Mailing address

724 Brisa CT
Chesapeake, VA 23322-7155
Phone (757) 404-1900

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
0710101902VAMDAddiction (Substance Use Disorder) Counselor
0904006264VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TKS Consulting, LLC CurrentSince Feb 9, 2025 Accepting new patients
Crossroads Treatment Center of Winchester, PC Past Accepting new patients
Stepping Stone Family Services, Inc. Past Accepting new patients
Crossroads Treatment Center of Suffolk, PC Past Accepting new patients
Stepping Stone Family Services, Inc. Past Accepting new patients

Locations

900 Commonwealth Pl
Ste 203
Virginia Beach, VA 23464
Phone (757) 679-2030

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1164535654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BRISA CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227155",
            "telephone_number": "757-404-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RESEARCH DR",
            "address_2": "SUITE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205984",
            "telephone_number": "757-673-8117",
            "fax_number": "757-673-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TAQUISA",
        "middle_name": "KATINA",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101902",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.