NPIMap

Individual provider Active NPI

Robin Simmons-Johnson, LCSW

  • Case Manager/Care Coordinator
  • Houma, LA
National Provider Identifier
1891189916
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
12820 Issued in LA
Practice address
5593 Highway 311
Houma, LA 70360-2866
Phone
(985) 868-2620
Fax
(985) 868-8547
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12820 LA
Social Worker 104100000X
Case Manager/Care Coordinator 171M00000X 12820 LA Primary

Addresses

Primary practice location

5593 Highway 311
Houma, LA 70360-2866

Mailing address

8326 Main St BLDG 3
Houma, LA 70363-4871
Phone (985) 868-2620

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

State licenses

LicenseStateTypeSpecialty
12820LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robin'S Sanctuary for Psychological Wellness Current Accepting new patients
Options for Independence Past Accepting new patients
Options for Independence Past Accepting new patients
Options for Independence Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1891189916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 MAIN ST BLDG 3",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703634871",
            "telephone_number": "985-868-2620",
            "fax_number": "985-868-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5593 HIGHWAY 311",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602866",
            "telephone_number": "985-868-2620",
            "fax_number": "985-868-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-JOHNSON",
        "first_name": "ROBIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12820",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "12820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.