Active NPI
Terri Simmons, LPCC-S
- Counselor
- Canton, OH
National Provider Identifier
1477794006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E.0600072-SUPV
- Practice address
- 4809 Munson St NW
Canton, OH 44718-3614 - Phone
- (330) 705-0730
- NPI assigned
- Mar 11, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RJ982926 | OH | |
| Counselor | 101Y00000X | E.0600072-SUPV | OH | Primary |
Addresses
Primary practice location
4809 Munson St NW
Canton, OH 44718-3614
Mailing address
4809 Munson St NW
Canton, OH 44718-3614
Phone (330) 705-0730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RJ982926 | OH | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terri L Simmons | Current | Accepting new patients |
Locations
4809 Munson St NW
Canton, OH 44718
Phone (330) 705-0370
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": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1477794006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 MUNSON ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447183614",
"telephone_number": "330-705-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 MUNSON ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447183614",
"telephone_number": "330-705-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TERRI",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "RJ982926",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.0600072-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.