NPIMap

Organization Active NPI

Simmons Counseling Services

Doing business as Jeremiah Simmons

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1891030862
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10958 Issued in FL
Legal business name
SIMMONS COUNSELING SERVICES
Doing business as
Jeremiah Simmons
Practice address
206 W Sybelia Ave
Maitland, FL 32751-4739
Phone
(321) 332-8540
NPI assigned
Dec 3, 2012
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
David Jeremiah SimmonsNPI 1316282502
Title
Owner
Phone
(321) 332-8540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 10958 FL Primary

Addresses

Primary practice location

206 W Sybelia Ave
Maitland, FL 32751-4739

Mailing address

206 W Sybelia Ave
Maitland, FL 32751-4739
Phone (321) 332-8540

Other names 1

  • Jeremiah Simmons Doing business as

National Provider Directory

National Provider Directory

Locations

110 N Orlando Ave
Ste 4
Maitland, FL 32751

206 W Sybelia Ave
Maitland, FL 32751
Phone (407) 782-4034

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1891030862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W SYBELIA AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514739",
            "telephone_number": "321-332-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W SYBELIA AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514739",
            "telephone_number": "321-332-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-332-8540"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeremiah Simmons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeremiah Simmons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.