Individual provider Active NPI

Gina Simmons Schneider, PH.D. MFT

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1841394293
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC24132 Issued in CA
Practice address
16935 W Bernardo Dr Ste 236
San Diego, CA 92127-1637
Phone
(858) 538-5587
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC24132 CA Primary

Addresses

Primary practice location

16935 W Bernardo Dr Ste 236
San Diego, CA 92127-1637

Mailing address

16935 W Bernardo Dr Ste 236
San Diego, CA 92127-1637
Phone (858) 538-5587

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ28866ZOtherCABLUE SHIELD PROVIDER ID

Other names 1

  • Dr. Gina Marie Simmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC24132CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1841394293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 236",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271637",
            "telephone_number": "858-538-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 236",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271637",
            "telephone_number": "858-538-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "GINA",
        "middle_name": "SIMMONS",
        "name_prefix": "Dr.",
        "credential": "PH.D. MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC24132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID",
            "identifier": "ZZZ28866Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "SIMMONS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D. MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.