Laytrayal Antionette Simmons, LPC, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY1001159 Issued in DC

Practice address

2407 Benning Rd NE FL 2
Washington, DC 20002-4800

Phone

(202) 595-9003

Fax

(202) 595-9009

NPI assigned

Dec 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Reignite Psychological & Consulting Services, LLC

  • Counseling Psychologist
  • Washington, DC
  • NPI 1043756224
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1639415219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024800",
            "telephone_number": "202-595-9003",
            "fax_number": "202-595-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 BENNING RD NE FL 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024800",
            "telephone_number": "202-595-9003",
            "fax_number": "202-595-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "LAYTRAYAL",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Dr.",
        "credential": "LPC, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001159",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC14145",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "DC",
            "license": "PSY1001159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalila Nataki Simmons, CPD
• Jannie Richeal Simmons
• Jazmyn Simmons
• Jharvae Augustine Simmons
• Kathleen Bernadette Simmons, RN
• Lesley Blair Simmons, PHD
• Malaika Simmons
• Paris Amani Simmons
• Saladin Simmons
• Sherri Simmons

• Counseling Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Counseling Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.