Teri Simmons, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003976 Issued in GA

Practice address

5334 Fox Hill Drive
Peachtree Corners, GA 30092

Phone

(678) 243-0790

NPI assigned

May 22, 2007

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

Other names 1

• Teri Marie Cherundolo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2024 through Mar 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1497964944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 FOX HILL DR",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300921609",
            "telephone_number": "678-770-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 FOX HILL DRIVE",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "678-243-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TERI",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "CHERUNDOLO",
            "middle_name": "MARIE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shorna Lee Yanique Shirley
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• Benjamin Shivers, DC
• Sydney Siegel, DPT
• Nathaly Sime, BCBA
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• Zondera Simpson, FNP
• Rishi Singhal, M.D.
• Yelena Sirota, OD
• Julius Nathaniel Skeete, O.D.

• Mental Health Counselor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.