KENNETH SIMMONS (NPI# 1083070890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083070890 |
| Entity Type | Individual |
| Full Name | KENNETH SIMMONS |
| Practice Address |
10617 Kettering Dr Suite #216 Charlotte NC 28226-4729 |
| Practice Telephone | 7047618232 |
| Practice Fax Number | 7048703259 |
| Mailing Telephone | 7047618232 |
| Mailing Fax Number | 7048703259 |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779495 | Kenneth Simmons | Specialist | 1225 S Bellaire St Apt 509, Denver, CO 80246-7753 | 2020-01-16 |
| 1992298129 | Kenneth Simmons | Pharmacist | 600 Ackerman Rd Ste E1014, Columbus, OH 43202-4500 | 2018-06-12 |
| 1871193060 | Kenneth Roy Simmons | Pharmacist | 5341 Highway 25, Flowood, MS 39232-6173 | 2020-10-28 |
| 1134742885 | Kenneth Dale Simmons IIi | Nurse Anesthetist, Certified Registered | 755 N 11th St Ste P3600, Beaumont, TX 77702-1515 | 2020-05-28 |
| 1780145284 | Kenneth Simmons | Registered Nurse | 1310 24th Ave S, Nashville, TN 37212-2637 | 2019-03-27 |
| 1881168102 | Kenneth D Simmons | Case Manager/Care Coordinator | 445 E Dublin Granville Rd, Worthington, OH 43085-3192 | 2019-01-21 |
| 1972823250 | Kenneth A Simmons | Counselor | 1825 Saint Julian Pl, Columbia, SC 29204-2424 | 2010-06-09 |
| Street Address |
10617 KETTERING DR SUITE #216 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659657062 | Tiffany Harris | Social Worker | 10617 Kettering Dr, 109, Charlotte, NC 28226-4729 | 2011-10-30 |
| 1760850077 | Three Cs Speech Therapy Services Pllc | Speech-Language Pathologist | 10617 Kettering Dr, Ste.210, Charlotte, NC 28226-4729 | 2015-09-03 |
| 1104206499 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 10617 Kettering Dr, Ste 104, Charlotte, NC 28226-4713 | 2015-06-02 |
| 1548513377 | Michelle Crosier | Social Worker | 10617 Kettering Dr, Charlotte, NC 28226-4729 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
| 1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
| 1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
| 1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
| 1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
| 1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
| 1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
| 1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.