Laura R Simmons-Fonner, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003597 Issued in VA

Practice address

10455 White Granite Dr Ste 400
Oakton, VA 22124-2764

Phone

(703) 536-9000

NPI assigned

Mar 21, 2007

Last updated

Oct 1, 2024By the provider in NPPES

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

Other identifiers 3

Other names 1

• Ms. Laura R Simmons Other name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Hopelink Behavioral Health

  • Voluntary or Charitable Agency
  • Oakton, VA
  • NPI 1275639684

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1821113366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 WHITE GRANITE DR STE 400",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242764",
            "telephone_number": "703-536-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 WHITE GRANITE DR STE 400",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242764",
            "telephone_number": "703-536-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-FONNER",
        "first_name": "LAURA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "105700",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "292848",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SIMMONS",
            "middle_name": "R",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nikki Serrano, P.T.
• Ian Arnold Shaffer, M.D.
• Aaron R Shelton, PT, DPT
• Alyssa Shema, OD
• Maryann Sheridan, LMFT
• Jennifer Lupianez Sims, D.C.
• Kulwinder Singh, PHARMD
• Solaire Vision Oakton, LLC (Solaire Vision)
• Shabnam Soleymani
• Jennifer Elaine Soumah, MBA, MS, LAT, ATC

• Professional Counselor in Oakton, VA
• Providers in Oakton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.