Individual provider Active NPI

Amber Simmons

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1982004339
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94453
Practice address
2855 Telegraph Ave Ste 515
Berkeley, CA 94705-1151
Phone
(510) 764-3787
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X 78985 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 94453 Primary

Addresses

Primary practice location

2855 Telegraph Ave Ste 515
Berkeley, CA 94705-1151

Mailing address

2855 Telegraph Ave Ste 515
Berkeley, CA 94705-1151

Other practice location 1

707 14th St
Modesto, CA 95354-2506
Phone (209) 525-5091

Other practice location 2

1620 Cummins Dr
Modesto, CA 95358-6400
Phone (209) 576-1750

Other practice location 3

3727 Sunset Ln Ste 210
Antioch, CA 94509-6135
Phone (925) 753-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foresight Mental HealthGroup PAC ID 6103176219, 22 clinicians

Practice addresses (Care Compare)

1000 G St
Suite 125
Sacramento, CA 95814-0894
Phone (888) 588-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiranet CurrentSince Jan 19, 2025 Accepting new patients
Aspira Foster & Family Services - Antioch CurrentSince Jan 21, 2024 Accepting new patients

Locations

3727 Sunset Ln
Ste 210
Antioch, CA 94509
Phone (925) 753-2156

Interoperability endpoints

  • Direct secure messaging: amber.simmons.1@25119.direct.athenahealth.com

Organizations & group practices 3

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1982004339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 TELEGRAPH AVE STE 515",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TELEGRAPH AVE STE 515",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051151",
            "telephone_number": "510-764-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 14th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542506",
            "country_code": "US",
            "telephone_number": "209-525-5091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Cummins Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953586400",
            "country_code": "US",
            "telephone_number": "209-576-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 Sunset Ln Ste 210",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096135",
            "country_code": "US",
            "telephone_number": "925-753-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78985",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "94453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.