Vickey Lynn Simmons-Hart

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4509 W Hasan Dr
Laveen, AZ 85339-1960

Phone

(480) 532-8214

NPI assigned

Nov 22, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ

  Medicare reassignment NPD
• Inclusive Mental Wellness LLC

  • Professional Counselor
  • Laveen, AZ
  • NPI 1164337978
  NPD (past) Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1942967260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 W HASAN DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391960",
            "telephone_number": "480-532-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 W HASAN DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391960",
            "telephone_number": "480-532-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS-HART",
        "first_name": "VICKEY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laveen",
            "affiliation": "N",
            "endpointDescription": "Home Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Laveen",
            "address_1": "4509 W Hasan Dr",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853391960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shalom Behavioral House, LLC
• Sonya Sharma, MPH
• Shoreline Behavioral Health, LLC
• Katelyn Sidoti
• Sierra Vista Assistant Living LLC
• Tiffany Simpson-Vassall, NP
• Austin Sitterly, DPT
• Skyhaven Care LLC
• Teniya Smith, B.S SLP
• Smiths Food & Drug Centers Inc

• Mental Health Counselor in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.