NPIMap

Individual provider Active NPI

Jillian Jenee Simmons

  • Behavior Analyst
  • Indianapolis, IN
National Provider Identifier
1912644584
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84841 Issued in IN
Practice address
9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone
(317) 721-8884
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-25-84841 IN Primary

Addresses

Primary practice location

9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817

Mailing address

14055 Cedar Rd FL 3
Cleveland, OH 44118-3337
Phone (317) 721-8884

Other practice location 1

4508 Columbia Ave
Hammond, IN 46327-1665
Phone (317) 721-8884

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achievers ABA Colorado LLC Past Accepting new patients
Achievers ABA LLC Past Accepting new patients
Achievers ABA LLC Past Accepting new patients
Achievers ABA Michigan LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1912644584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 CEDAR RD FL 3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183337",
            "telephone_number": "317-721-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403817",
            "telephone_number": "317-721-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4508 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463271665",
            "country_code": "US",
            "telephone_number": "317-721-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JILLIAN",
        "middle_name": "JENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-25-84841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.