Active NPI
Brian Marc Simmons, LPC
- Mental Health Counselor
- Southlake, TX
National Provider Identifier
1356991855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 69257
- Practice address
- 2131 Kirkwood Blvd
Southlake, TX 76092-1529 - Phone
- (214) 226-4206
- Fax
- (817) 402-2437
- NPI assigned
- Sep 17, 2019
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 69257 | TX | Primary |
Addresses
Primary practice location
2131 Kirkwood Blvd
Southlake, TX 76092-1529
Mailing address
7 Straight Creek CT
Trophy Club, TX 76262-5440
Phone (214) 226-4206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69257 | Other | TX | COUNSELING LICENSE |
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 |
|---|---|---|---|
| 69257 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Solutions Counseling, PLLC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Southlake, TX
- NPI 1295176220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1356991855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 STRAIGHT CREEK CT",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625440",
"telephone_number": "214-226-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 KIRKWOOD BLVD",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921529",
"telephone_number": "214-226-4206",
"fax_number": "817-402-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "BRIAN",
"middle_name": "MARC",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELING LICENSE",
"identifier": "69257",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
- Sierra Op TX, LLC (Sierra at Southlake)
- Silverlake Professional Group (Silverlake Medical Group)
- Silverstone Harborchase Southlake Operating, LLC (HarborChase of Southlake)
- Brooke V. Simer, MA, CCC-SLP
- Savannah Simerly
- Simon S Tan, MD PA
- Elizabeth Simon
- Lindsey Simon
- Maria Valeria Simone, MD
- Brooke Simonson, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.