Individual provider Active NPI

Lauren Ivy Simmons, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1659784528
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209029664 Issued in IL
Practice address
7410 S Yates Blvd # a
Chicago, IL 60649-3316
Phone
(773) 664-2811
NPI assigned
Jun 8, 2014
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707000278 IL Practitioner - Nurse Practitioner 7810401593 Reassigns benefits to 1 organization

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
Success TMS Professional Services PLLCGroup PAC ID 5597194779, 3 clinicians

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

LicenseStateTypeSpecialty
209029664ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Success TMS Professional Services, PLLC CurrentSince Apr 12, 2025 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.

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

Verify at the official NPI Registry.