Jennifer Ann Simmons, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2102171 Issued in OH

Practice address

107 Lancaster St
Marietta, OH 45750-2734

Phone

(740) 249-8061

Fax

(740) 371-5499

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Counseling & Rehabilitation Center of Ohio

  • Counselor
  • Marietta, OH
  • NPI 1528605276

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Family Counseling & Rehabilitation Center of Ohio

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marietta, OH
  • NPI 1689340523
  NPD (past) Authorized official
• Family Counseling & Rehabilitation Center of Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, OH
  • NPI 1811569734
  NPD (past) Authorized official
• Family Counseling & Rehabilitation Center of Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, OH
  • NPI 1891367710
  NPD (past) Authorized official
• L & P Services, Inc.

  • Public Health or Welfare Agency
  • Marietta, OH
  • NPI 1942289301

  Addiction (Substance Use Disorder)

  NPD (past)
• Pfeifer Counseling, Consulting and Training LLC

  • Professional Counselor
  • Williamstown, WV
  • NPI 1841657749
  NPD (past)

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1164965752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457140462",
            "telephone_number": "740-249-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LANCASTER ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502734",
            "telephone_number": "740-249-8061",
            "fax_number": "740-371-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207D Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502363",
            "country_code": "US",
            "telephone_number": "740-376-0930",
            "fax_number": "740-376-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102171",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Shrider, RPH
• Jill Shutts, RN, IBCLC
• Harmandeep Sidhu
• Ella M Sillaman
• Silver Lake Ventures LLC
• Jonathan Simon, DPT
• Dessira Singer, LPN
• Geoffrey Sirockman, DO
• Linda Kay Sistrunk, LSW
• Ginger Ann Six, CRNA

• Professional Counselor in Marietta, OH
• Providers in Marietta, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.