Individual provider Active NPI

Dawn Simmons

  • Mental Health Counselor
  • Mount Pleasant, SC
National Provider Identifier
1669004503
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7373 Issued in SC
Practice address
268 W Coleman Blvd Ste a
Mt Pleasant, SC 29464-5650
Phone
(843) 597-9994
NPI assigned
Feb 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7373 SC Primary

Addresses

Primary practice location

268 W Coleman Blvd Ste a
Mt Pleasant, SC 29464-5650

Mailing address

774 S Shelmore Blvd Ste 108
Mt Pleasant, SC 29464-7625

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address intake@wildflowercfc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7373SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Center for Counseling CurrentSince Feb 16, 2020 Accepting new patients

Locations

268 W Coleman Blvd
Ste A
Mt Pleasant, SC 29464
Phone (843) 425-1866

774 S Shelmore Blvd
Ste 108
Mt Pleasant, SC 29464
Phone (843) 936-2566

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1669004503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD STE 108",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 W COLEMAN BLVD STE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645650",
            "telephone_number": "843-597-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "intake@wildflowercfc.com",
            "affiliation": "N",
            "address_1": "268 W Coleman Blvd Ste A",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294645650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.