Individual provider Active NPI

Tiyon Lavon Simmons, LCMHCA

  • Mental Health Occupational Therapist
  • Williamston, NC
National Provider Identifier
1679210660
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
A17444 Issued in NC
Practice address
607 Washington St
Williamston, NC 27892-2645
Phone
(252) 792-8035
NPI assigned
May 19, 2022
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17444 NC
Mental Health Occupational Therapist 225XM0800X A17444 NC Primary

Addresses

Primary practice location

607 Washington St
Williamston, NC 27892-2645

Mailing address

1217A Peyton Cir
Greenville, NC 27834-8231
Phone (252) 382-9901

Other practice location 1

2269 Stantonsburg Rd
Greenville, NC 27834-2841
Phone (252) 439-0700

Other practice location 2

408 E 11TH St
Washington, NC 27889-3719
Phone (252) 975-2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203004364 NC Practitioner - Mental Health Counselor 5991283525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

1405 A S Glenburnie Rd
New Bern, NC 28562-2603
Phone (252) 638-9091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17444NCMDMental Health Counselor
A17444NCMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Dec 23, 2025 Accepting new patients
Rha Health Services, Inc Single Specialty CurrentSince Dec 23, 2025 Accepting new patients
Rha Behavioral Health NC LLC Single Specialty CurrentSince Dec 23, 2025 Accepting new patients
Rha Health Services, Inc. Single Specialty CurrentSince Dec 23, 2025 Accepting new patients
T&a Innervention Counseling Mental Health CurrentSince May 22, 2022 Accepting new patients
Pamlico Counseling PLLC Mental Health PastSince Mar 1, 2005 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1405A S Glenburnie Rd
New Bern, NC 28562
Phone (252) 638-7875

Organizations & group practices 7

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1679210660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217A PEYTON CIR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348231",
            "telephone_number": "252-382-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 WASHINGTON ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922645",
            "telephone_number": "252-792-8035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2269 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342841",
            "country_code": "US",
            "telephone_number": "252-439-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 E 11TH ST",
            "address_purpose": "LOCATION",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893719",
            "country_code": "US",
            "telephone_number": "252-975-2027",
            "fax_number": "252-975-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TIYON",
        "middle_name": "LAVON",
        "name_prefix": "Mr.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17444",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NC",
            "license": "A17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

Verify at the official NPI Registry.