Active NPI
Raychell Simmons, AMFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1992250740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 151593
- Practice address
- 3075 Adeline St Ste 120
Berkeley, CA 94703-2579 - Phone
- (510) 848-1112
- NPI assigned
- Aug 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 151593 | CA | Primary |
Addresses
Primary practice location
3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Mailing address
3075 Adeline St Ste 120
Berkeley, CA 94703-2579
Phone (510) 848-1112
Other practice location 1
13847 E 14th St Ste 215
San Leandro, CA 94578-2626
Phone (510) 430-1115
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151593 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Through the Looking Glass | Current | Accepting new patients | |
| Trinity Counseling Center | Past | Accepting new patients |
Locations
3075 Adeline St
Ste 120
Berkeley, CA 94703
Phone (510) 225-7572
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.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1528267028
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Leandro, CA
- NPI 1255460648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1992250740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 ADELINE ST STE 120",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032579",
"telephone_number": "510-848-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 ADELINE ST STE 120",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032579",
"telephone_number": "510-848-1112"
}
],
"practiceLocations": [
{
"address_1": "13847 E 14th St Ste 215",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945782626",
"country_code": "US",
"telephone_number": "510-430-1115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "RAYCHELL",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "151593",
"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 Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.