Kayla N Simmons, Lac

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1801508551 Issued in NJ

Practice address

88 Princeton Hightstown Rd Ste 202
Princeton Junction, NJ 08550-1100

Phone

(732) 982-2888

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Interborough Developmental and Consultation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1912867433
  NPD (past)

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1801508551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BREVOORT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161812",
            "telephone_number": "917-554-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PRINCETON HIGHTSTOWN RD STE 202",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501100",
            "telephone_number": "732-982-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS, LAC",
        "first_name": "KAYLA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "1801508551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalin Raj Shah, DMD, MS
• Daniel W Shapiro, M.D.
• J. Daniel Sheeley Jr., DC
• John Paul Sheerin
• Erin Sherry, MSW
• Irving Earl Simon, OD
• Kristiana Laureano Simon, PA-C
• Amrita Singh, LCSW
• Satwinder Singh, DDS
• Carol Frances Sisterhen, MA, LPC

• Mental Health Counselor in Princeton Junction, NJ
• Providers in Princeton Junction, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.