Individual provider Active NPI

Kellye Simmons, LCSW

  • Clinical Social Worker
  • Windber, PA
National Provider Identifier
1245635960
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019435 Issued in PA
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 244-4647
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019435 PA Primary

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (814) 846-5060

Other practice location 1

110 Hidden Valley Rd
Mc Murray, PA 15317-2685
Phone (724) 941-4070

Other practice location 2

152 Zeman Dr Ste 301
Ebensburg, PA 15931-4130
Phone (814) 846-5060

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KellyeSimmonsBetterHelpTherapy@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230510003256 PA Practitioner - Clinical Social Worker 0042676322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince May 11, 2023 Accepting new patients
Primary Health Network CurrentSince May 11, 2023 Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

152 Zeman Dr
Ste 301
Ebensburg, PA 15931
Phone (814) 846-5060

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

200 Prushnok Dr
Punxsutawney, PA 15767
Phone (814) 938-3310

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Organizations & group practices 2

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1245635960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-846-5060",
            "fax_number": "814-846-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-244-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hidden Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153172685",
            "country_code": "US",
            "telephone_number": "724-941-4070",
            "fax_number": "724-941-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Zeman Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "159314130",
            "country_code": "US",
            "telephone_number": "814-846-5060",
            "fax_number": "814-846-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KELLYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KellyeSimmonsBetterHelpTherapy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1606 Luzerne Street Ext",
            "city": "Johnstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159052931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.