Active NPI
Amber Simmons
- Clinical Social Worker
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiranet | Current | Accepting new patients | |
| Aspira Foster & Family Services - Antioch | Current | Accepting new patients |
Locations
3727 Sunset Ln
Ste 210
Antioch, CA 94509
Phone (925) 753-2156
Interoperability endpoints
- 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.
-
- Counselor
- Sacramento, CA
- NPI 1902390537
-
- Community/Behavioral Health Agency
- Antioch, CA
- NPI 1558405035
-
- Community/Behavioral Health Agency
- Antioch, CA
- NPI 1619788668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.