Individual provider Active NPI

Christopher R Simmins

  • Mental Health Counselor
  • Farmington, MN
National Provider Identifier
1679304885
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
18598 Elk River TRL
Farmington, MN 55024-8640
Phone
(651) 333-0653
NPI assigned
Aug 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 Primary

Addresses

Primary practice location

18598 Elk River TRL
Farmington, MN 55024-8640

Mailing address

1180 Cushing Cir Apt 208
Saint Paul, MN 55108-5016
Phone (865) 801-2283

Other practice location 1

4220 Bolivar Rd
Wellsville, NY 14895-9332
Phone (585) 593-6300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Potential Counseling CurrentSince Nov 24, 2025 Accepting new patients

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1679304885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CUSHING CIR APT 208",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085016",
            "telephone_number": "865-801-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18598 ELK RIVER TRL",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248640",
            "telephone_number": "651-333-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Bolivar Rd",
            "address_purpose": "LOCATION",
            "city": "Wellsville",
            "state": "NY",
            "postal_code": "148959332",
            "country_code": "US",
            "telephone_number": "585-593-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.