Shannon B Simmons, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2006005029 Issued in MO

Practice address

815 S Ash St
Nevada, MO 64772-3222

Phone

(417) 667-8352

Fax

(417) 667-9216

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Drake University College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fastcomprehensivecare.shannonbsimmons@155276.advancedmd-direct.com

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.

• Communitty Mental Health Consultants, Inc.

  dba Fast Comprehensive Care

  • Family Nurse Practitioner
  • Nevada, MO
  • NPI 1740330406

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1467480343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W HICKORY ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647722144",
            "telephone_number": "417-549-0943",
            "fax_number": "417-667-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723222",
            "telephone_number": "417-667-8352",
            "fax_number": "417-667-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHANNON",
        "middle_name": "B",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006005029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490620606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis Shilane, D.O.
• Shull Chiropractic Clinic LLC (Shull Chiropractic Clinic)
• Bradford Lewis Shull, D.C.
• Silver Oak Senior Living Management, LC (Silver Oak Senior Living of Nevada 1)
• Silver Oak Senior Living Management, LC (Silver Oak Senior Living at Nevada II)
• Samantha K Simpson
• Skills Unlimited Inc
• Skills Unlimited Inc
• Skills Unlimited, Inc
• Amanda Rachel Sloniker, PMHNP-BC

• Professional Counselor in Nevada, MO
• Providers in Nevada, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.