Active NPI
Mark Allen Simmons, LPC, LCDC
- Professional Counselor
- The Woodlands, TX
National Provider Identifier
1477059988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70873
- Practice address
- 2700 Research Forest Dr Ste 130
The Woodlands, TX 77381-4252 - Phone
- (281) 528-4226
- NPI assigned
- Apr 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11675 | TX | |
| Professional Counselor | 101YP2500X | 70873 | TX | Primary |
Addresses
Primary practice location
2700 Research Forest Dr Ste 130
The Woodlands, TX 77381-4252
Mailing address
29114 Red River Loop
Spring, TX 77386-3116
Phone (281) 943-4664
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 |
|---|---|---|---|
| 70873 | TX | MD | Professional Counselor |
| 11675 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Add Health and Wellness of the Woodlands, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Optima Forensic Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- The Woodlands, TX
- NPI 1205293453
Addiction (Substance Use Disorder)
-
- Forensic Psychologist
- The Woodlands, TX
- NPI 1972396513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1477059988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29114 RED RIVER LOOP",
"city": "SPRING",
"state": "TX",
"postal_code": "773863116",
"telephone_number": "281-943-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RESEARCH FOREST DR STE 130",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773814252",
"telephone_number": "281-528-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11675",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.