Active NPI
Marya Simmons, CDCA
- Addiction (Substance Use Disorder) Counselor
- Beachwood, OH
National Provider Identifier
1619885662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 194577
- Practice address
- 2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328 - Phone
- (216) 206-7377
- NPI assigned
- Aug 31, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 194577 | OH | Primary |
Addresses
Primary practice location
2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328
Mailing address
2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328
Phone (216) 206-7377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1619885662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 AUBURN DR STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224328",
"telephone_number": "216-206-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 AUBURN DR STE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224328",
"telephone_number": "216-206-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MARYA",
"credential": "CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "194577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.