Stephanie Simms, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19626 Issued in FL

Practice address

3662 Avalon Park East Blvd Ste 2024
Orlando, FL 32828-7760

Phone

(407) 476-7450

NPI assigned

Nov 21, 2013

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Solace Counseling

  • Adult Mental Health Clinic/Center
  • Orlando, FL
  • NPI 1083497374
  NPD Authorized official

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1477983898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 AVALON PARK EAST BLVD STE 2024",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287760",
            "telephone_number": "407-476-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 AVALON PARK EAST BLVD STE 2024",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287760",
            "telephone_number": "407-476-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "STEPHANIE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Simmons
• Rachel Shanale Simmons, A.R.N.P.
• Shakira Simmons
• Shirley Simmons
• Tram Nhuthanh Simmons, PHARMD
• Amanda Simoes Justino DO Barreiro
• Alexis B Simon, M.A., BCBA
• Dana Elizabeth Simon, PA-C
• Edna Melinda Simon
• Jennifer J Simon, BCBA

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.