Individual provider Active NPI

Amber Jamila Simmons

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1194148320
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
119701 Issued in CA
Practice address
2190 N Winery Ave Ste 102
Fresno, CA 93703-4812
Phone
(510) 759-3431
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X D4969743 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 91296 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 119701 CA Primary

Addresses

Primary practice location

2190 N Winery Ave Ste 102
Fresno, CA 93703-4812

Mailing address

2190 N Winery Ave Ste 102
Fresno, CA 93703-4812
Phone (510) 759-3431

Other practice location 1

4946 E Yale Ave Ste 103
Fresno, CA 93727-1571
Phone (559) 721-2106

Other practice location 2

9343 Tech Center Dr
Suite 200
Sacramento, CA 95826-2563
Phone (916) 388-6332

Other practice location 3

4928 E Clinton Way Ste 108
Fresno, CA 93727
Phone (559) 255-8519

Other practice location 4

1393 Bailey Drive
Hanford, CA 93230-1526
Phone (559) 258-1070

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
D4969743CAMDCounselor
119701CAMDMarriage & Family Therapist
91296CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Simmons and Simmons Wellness Center Mental Health Marriage and Family CurrentSince Oct 2, 2022 Accepting new patients

Locations

2190 N Winery Ave
Ste 102
Fresno, CA 93703
Phone (510) 759-3431

Organizations & group practices 1

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1194148320",
    "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": "510-759-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 N WINERY AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937034812",
            "telephone_number": "510-759-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4946 E Yale Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271571",
            "country_code": "US",
            "telephone_number": "559-721-2106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9343 Tech Center Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262563",
            "country_code": "US",
            "telephone_number": "916-388-6332",
            "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": "559-255-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1393 Bailey Drive",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932301526",
            "country_code": "US",
            "telephone_number": "559-258-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMBER",
        "middle_name": "JAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "D4969743",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91296",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "119701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.