Individual provider Active NPI

Karen Elaine Simmons-Clifton, MS, LMHC, LPC

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1801323415
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87779 Issued in TX
Practice address
9128 Saint Barts Rd
Fort Worth, TX 76123-3524
Phone
(352) 595-5000
Fax
(352) 595-8431
NPI assigned
May 12, 2017
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 IMH14752 FL
Mental Health Counselor 101YM0800X 87779 TX Primary

Addresses

Primary practice location

9128 Saint Barts Rd
Fort Worth, TX 76123-3524

Mailing address

9128 Saint Barts Rd
Fort Worth, TX 76123-3524
Phone (352) 870-5127

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 352-870-5127 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240125000330 TX Practitioner - Mental Health Counselor 2163875279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH14752FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Empowerment Services by Karen, Inc Current Accepting new patients

Organizations & group practices 2

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1801323415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 SAINT BARTS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233524",
            "telephone_number": "352-870-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 SAINT BARTS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233524",
            "telephone_number": "352-595-5000",
            "fax_number": "352-595-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-CLIFTON",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14752",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "352-870-5127",
            "affiliation": "N",
            "endpointDescription": "Cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Verbal",
            "address_1": "9128 Saint Barts Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761233524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.