Active NPI
Katherine Annette Simmons, LPCC-S
- Professional Counselor
- Tiffin, OH
National Provider Identifier
1326376963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E0500033
- Practice address
- 1344 W Seneca Ave
Tiffin, OH 44883-2652 - Phone
- (419) 455-8140
- Fax
- (419) 225-8878
- NPI assigned
- Nov 19, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | E05000333 | OH | |
| Mental Health Counselor | 101YM0800X | E0500033 | OH | |
| Pastoral Counselor | 101YP1600X | EO500033 | OH | |
| Professional Counselor | 101YP2500X | E0500033 | OH | Primary |
Addresses
Primary practice location
1344 W Seneca Ave
Tiffin, OH 44883-2652
Mailing address
329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072
Other practice location 1
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
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 |
|---|---|---|---|
| E05000333 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E0500033 | OH | MD | Mental Health Counselor |
| EO500033 | OH | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1326376963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 N WEST ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458014332",
"telephone_number": "419-221-3072",
"fax_number": "419-225-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 W SENECA AVE",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832652",
"telephone_number": "419-455-8140",
"fax_number": "419-225-8878"
}
],
"practiceLocations": [
{
"address_1": "1925 Hayes Ave",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "OH",
"postal_code": "448704737",
"country_code": "US",
"telephone_number": "419-557-5177",
"fax_number": "419-557-5179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "KATHERINE",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "E05000333",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0500033",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "OH",
"license": "EO500033",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0500033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.