Johnny Simmons Jr., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

108461 Issued in CA

Practice address

2190 N Winery Ave
Fresno, CA 93703-4812

Phone

(323) 642-6703

Fax

(559) 558-8999

NPI assigned

Jun 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1194138495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 N WINERY AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034812",
            "telephone_number": "323-573-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 N WINERY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034812",
            "telephone_number": "323-642-6703",
            "fax_number": "559-558-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4928 E Clinton Way Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-225-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4928 E Clinton Way Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93727",
            "country_code": "US",
            "telephone_number": "559-225-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1788 Celeste Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936112069",
            "country_code": "US",
            "telephone_number": "559-203-5374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2291 N Hazel Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937225562",
            "country_code": "US",
            "telephone_number": "559-203-5374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3138 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112603",
            "country_code": "US",
            "telephone_number": "559-203-5374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JOHNNY",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "108461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Hirch Simmons, D.D.S.
• Amber Jamila Simmons
• Aniyah Simmons
• Celeste L Simmons, PH.D.
• James Simmons, D.O.
• Kimeka Electra Simmons
• Mattie Simmons, AMFT
• Megan Rochelle Simmons
• Sidney Simmons
• Crystal Simon

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.