Jonathan Andre Simmonds, MHSA, CBHCM

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6100 Lake Ellenor Dr Ste 212
Orlando, FL 32809-4632

Phone

(407) 325-2235

NPI assigned

Aug 24, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Akeso Behavioral Health Services

  • Case Management Agency
  • Orlando, FL
  • NPI 1033653779
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1811500515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 W JEFFERSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE ELLENOR DR STE 212",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094632",
            "telephone_number": "407-325-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "JONATHAN",
        "middle_name": "ANDRE",
        "credential": "MHSA, CBHCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaymee Ann Sambo Simbulan, BCBA
• Simeon Resource and Development Center for Men, Inc
• Angeline Simeus, OD
• Heather Anne Siminski
• Alric V. Simmonds Jr., M.D.
• Sonia E Simmonds, D.D.S.
• Aimee Marie Simmons, MSW, LCSW
• Belkis J Simmons, M.S., CCC-SLP
• Brandy Michelle Simmons, ATC, PA-C
• Brittany Suzanne Simmons, RN

• Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.