Aquilla's Counseling Place

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AQUILLA'S COUNSELING PLACE

Doing business as

Aquilla's Counseling Place

Practice address

138 Brooks Rd
North Fort Myers, FL 33917-4105

Phone

(239) 810-8731

Fax

(833) 466-1320

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Aquilla Simmons, LCSWNPI 1376987602

Title

Owner

Phone

(239) 810-8731

Specialties & licenses 1

Addresses

Other names 1

• Aquilla's Counseling Place Doing business as

Practitioners 1

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

• Aquilla Simmons, LCSW

  • Clinical Social Worker
  • North Fort Myers, FL
  • NPI 1376987602
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1720737323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BROOKS RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339174105",
            "telephone_number": "123-981-0873",
            "fax_number": "833-466-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 BROOKS RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339174105",
            "telephone_number": "239-810-8731",
            "fax_number": "833-466-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILLA'S COUNSELING PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "AQUILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-810-8731",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquilla's Counseling Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aquilla's Counseling Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.