Dimonique Simmons, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015911 Issued in MI

Practice address

5575 Conner St Ste 204B
Detroit, MI 48213-6401

Phone

(248) 716-4910

Fax

(248) 522-7045

NPI assigned

Jan 18, 2018

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 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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1861900326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 204B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "248-716-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 204B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "248-716-4910",
            "fax_number": "248-522-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DIMONIQUE",
        "name_prefix": "Ms.",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401015911",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Simmons
• Casaundra Simmons
• Christine Simmons, LPC
• Cynthia Simmons, CPRM
• Deonta Simmons
• Edward Cornelius Simmons, LMT
• Felicia Simmons, RN
• Hanna Simmons, MD
• Janene Simmons
• Karen Kim Simmons

• Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.