Bernice Simmons, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65508 Issued in TX

Practice address

1000 Rolling Meadows LN
Wylie, TX 75098-8008

Phone

(972) 333-9859

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1811515158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROLLING MEADOWS LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROLLING MEADOWS LN",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988008",
            "telephone_number": "972-333-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BERNICE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernice@faithfulchanges.com",
            "affiliation": "N",
            "endpointDescription": "professional business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "1000 Rolling Meadows Ln",
            "city": "Wylie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750988008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christie Shill, MA, LPC-A
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• Usama Siddiqui
• Jessica Briana Siedelmann
• Anais Louise Siewe Deuga
• Cortney Simo Fossouo, BCBA
• Simply Counseling of Texas, PLLC
• Kasheryl Sims, LMSW
• Sincere Home Health Care Inc
• Harsimran Singh

• Mental Health Counselor in Wylie, TX
• Providers in Wylie, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.