Individual provider Active NPI

Shnai Simmons, LPC, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1366851875
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13166 Issued in FL
Practice address
15438 N Florida Ave # 106N
Tampa, FL 33613-1256
Phone
(813) 867-8855
Fax
(813) 906-0206
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701005890 VA
Professional Counselor 101YP2500X 0701005890 VA
Professional Counselor 101YP2500X MH 13166 FL
Mental Health Counselor 101YM0800X MH13166 FL Primary

Addresses

Primary practice location

15438 N Florida Ave # 106N
Tampa, FL 33613-1256

Mailing address

15438 N Florida Ave # 106N
Tampa, FL 33613-1256
Phone (813) 867-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2025 through Mar 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH13166FLMDMental Health Counselor
0701005890VAMDMental Health Counselor
MH 13166FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Victory Family Services Inc Mental Health Current 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1366851875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15438 N FLORIDA AVE # 106N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131256",
            "telephone_number": "813-867-8855",
            "fax_number": "813-906-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15438 N FLORIDA AVE # 106N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131256",
            "telephone_number": "813-867-8855",
            "fax_number": "813-906-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHNAI",
        "name_prefix": "Dr.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005890",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005890",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 13166",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.