Enrique Alfredo Simmons, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2020 Roanoke St
Hyattsville, MD 20782-1610

Phone

(301) 509-8403

Fax

(301) 422-1652

NPI assigned

Aug 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mbi Health Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1396048070
  Medicare reassignment NPD
• District Healthcare Services, LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1366939225
  NPD

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1588097109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 ROANOKE ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821610",
            "telephone_number": "301-509-8403",
            "fax_number": "301-422-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ROANOKE ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821610",
            "telephone_number": "301-509-8403",
            "fax_number": "301-422-1652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Taylor St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115617",
            "country_code": "US",
            "telephone_number": "202-464-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ENRIQUE",
        "middle_name": "ALFREDO",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5237",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayroce Silayo
• Erin Silky
• Fatmata Sillah, CNA
• Dione Silva
• Marie Ellinore Silverio, OTR/L
• Jhalika Simmons
• Leah Renee Simmons, LAT, ATC
• Brittany Simpson, LMSW
• Smriti Singh, DMD
• Tanvir Singh

• Professional Counselor in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.