Legal Business Name

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LEGAL BUSINESS NAME

Practice address

120 Independence Dr
Joshua, TX 76058-4645

Phone

(903) 237-9689

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Jay Simmons, MA, LPCANPI 1043904865

Title

Counselor

Phone

(903) 237-9689

Specialties & licenses 1

Addresses

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Jay Simmons

  • Counselor
  • Arlington, TX
  • NPI 1043904865
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1669200804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INDEPENDENCE DR",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584645",
            "telephone_number": "903-237-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INDEPENDENCE DR",
            "city": "JOSHUA",
            "state": "TX",
            "postal_code": "760584645",
            "telephone_number": "903-237-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGAL BUSINESS NAME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "903-237-9689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPCA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Isd
• Joshua Spine and Health Center, PC
• Whitney Joyner, MA, LPC
• Erick Klein, NP-C
• Tiffany Lynn Lankford, NDTR
• Paige Lillagore
• Ammar Majeed, MD
• Jasyn M Mamantov, PHYSICAL THERAPIST
• Carrie McAdams
• Janice A Miller, M.D.

• All providers in Joshua, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.