Active NPI
Amber Jamila Simmons
- Marriage & Family Therapist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D4969743 | CA | MD | Counselor |
| 119701 | CA | MD | Marriage & Family Therapist |
| 91296 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons and Simmons Wellness Center Mental Health Marriage and Family | Current | 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.
-
- Mental Health Counselor
- Fresno, CA
- NPI 1477277820
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.