Active NPI
Lauren Ivy Simmons, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209029664
- Practice address
- 7410 S Yates Blvd # a
Chicago, IL 60649-3316 - Phone
- (773) 664-2811
- NPI assigned
- Jun 8, 2014
- Last updated
- May 22, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209029664 | IL | Primary |
| Registered Nurse | 163W00000X | 041406961 | IL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041406961 | IL |
Addresses
Primary practice location
7410 S Yates Blvd # a
Chicago, IL 60649-3316
Mailing address
14858 Shepard Dr
Dolton, IL 60419-2467
Phone (773) 664-2811
Other practice location 1
5113 S Harper Ave Ste 2C
Chicago, IL 60615-4119
Phone (773) 304-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1137 W Lawrence Ave
Chicago, IL 60640-5025
Phone (855) 940-4867
15 Spinning Wheel Rd
Suite 212
Hinsdale, IL 60521-2966
Phone (561) 870-9158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209029664 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success TMS Professional Services, PLLC | Current | Accepting new patients |
Locations
1615 S Congress Ave
Ste 200
Delray Beach, FL 33445
1137 W Lawrence Ave
Chicago, IL 60640
1500 Waukegan Rd
Ste 213
Glenview, IL 60025
Phone (630) 656-4307
15 Spinning Wheel Rd
Ste 212
Hinsdale, IL 60521
Phone (561) 870-9158
3200 W Higgins Rd
Ste 104
Hoffman Estates, IL 60169
Phone (630) 503-7444
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Glenview, IL
- NPI 1457997496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1659784528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14858 SHEPARD DR",
"city": "DOLTON",
"state": "IL",
"postal_code": "604192467",
"telephone_number": "773-664-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 S YATES BLVD # A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493316",
"telephone_number": "773-664-2811"
}
],
"practiceLocations": [
{
"address_1": "5113 S Harper Ave Ste 2C",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606154119",
"country_code": "US",
"telephone_number": "773-304-3699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "LAUREN",
"middle_name": "IVY",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-08",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209029664",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041406961",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "IL",
"license": "041406961",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.