Individual provider Active NPI

Clark Simmons I, LCSW

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1427202159
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2000 Richard Jones Rd Ste 100
Nashville, TN 37215-2885
Phone
(615) 610-0900
NPI assigned
Nov 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2000 Richard Jones Rd Ste 100
Nashville, TN 37215-2885

Mailing address

2000 Richard Jones Rd Ste 100
Nashville, TN 37215-2885
Phone (615) 610-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250428003864 TN Practitioner - Clinical Social Worker 9436675949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Hospital AuthorityGroup PAC ID 3779775432, 50 clinicians

Practice addresses (Care Compare)

1818 Albion St
Nashville, TN 37208-2918
Phone (615) 341-4000

Hospital & facility affiliations

  • Metro Nashville General Hospital Hospital, Nashville, TN, CCN 440111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital Authority CurrentSince Feb 16, 2025 Accepting new patients

Locations

1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1427202159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-610-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-610-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CLARK",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.