Individual provider Active NPI

Kimberly Aaron Simms, M.A., LPC, LMFT, MAC

  • Professional Counselor
  • Leesville, LA
National Provider Identifier
1669752572
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4242 Issued in LA
Practice address
100 E Texas St
Leesville, LA 71446-4054
Phone
(318) 623-2072
NPI assigned
Aug 23, 2011
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4242 LA Primary
Marriage & Family Therapist 106H00000X 1153 LA

Addresses

Primary practice location

100 E Texas St
Leesville, LA 71446-4054

Mailing address

1105 Nolan Trce
Leesville, LA 71446-3837
Phone (337) 404-9917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 17, 2024 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4242LAMDProfessional Counselor
1153LAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of West Louisiana Professional CurrentSince Nov 16, 2021 Accepting new patients

Locations

100 E Texas St
Leesville, LA 71446
Phone (318) 623-2072

300 E Lula St
Leesville, LA 71446
Phone (337) 404-9917

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1669752572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 NOLAN TRCE",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714463837",
            "telephone_number": "337-404-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E TEXAS ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464054",
            "telephone_number": "318-623-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "KIMBERLY",
        "middle_name": "AARON",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, LMFT, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4242",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.