Individual provider Active NPI

Michael L Simmons, LPC

  • Mental Health Counselor
  • Muskogee, OK
National Provider Identifier
1922219864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2390 Issued in OK
Practice address
2303 S York St
Muskogee, OK 74403-8876
Phone
(918) 686-5588
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2390 OK Primary

Addresses

Primary practice location

2303 S York St
Muskogee, OK 74403-8876

Mailing address

PO Box 516
Muskogee, OK 74402-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620002945 OK Practitioner - Mental Health Counselor 0446600449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Families First IncGroup PAC ID 8628323912, 3 clinicians

Practice addresses (Care Compare)

928 N York St
Suite 44B
Muskogee, OK 74403-3117
Phone (918) 686-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Families First Inc CurrentSince Jan 1, 2024 Accepting new patients
Oklahoma Families First Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

928 N York St
Ste 44B
Muskogee, OK 74403
Phone (918) 686-5588

2600 Van Buren St
Ste 2634
Norman, OK 73072

Organizations & group practices 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922219864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744020516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 S YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038876",
            "telephone_number": "918-686-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.