BRIAN MARC SIMMONS (NPI# 1356991855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356991855 |
| Entity Type | Individual |
| Full Name | BRIAN MARC SIMMONS |
| Credential | LPC |
| Practice Address |
2131 Kirkwood Blvd Southlake TX 76092-1529 |
| Mailing Address |
7 Straight Creek Ct Trophy Club TX 76262-5440 |
| Practice Telephone | 2142264206 |
| Practice Fax Number | 8174022437 |
| Mailing Telephone | 2142264206 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
69257 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | COUNSELING LICENSE | 69257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417068032 | Brian K. Simmons | Social Worker | 1334 Nipa Blvd, Fairfield, IA 52556-8987 | 2006-08-31 |
| 1225508096 | Brian Lee Simmons | Nurse Practitioner | 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005-5543 | 2018-12-04 |
| 1245747526 | Brian Simmons | Social Worker | 1916 University Ave, Oxford, MS 38655-4114 | 2018-01-08 |
| 1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
| 1124355789 | Brian William Simmons | Social Worker | 450 S 900 E Ste 300, Salt Lake City, UT 84102-3064 | 2009-11-03 |
| 1851334973 | Brian E Simmons | Internal Medicine | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2006-06-14 |
| 1750371829 | Brian Simmons | Nurse Anesthetist, Certified Registered | 4048 Evans Ave, Suite 303, Ft Myers, FL 33901-9322 | 2005-10-28 |
| Street Address |
2131 KIRKWOOD BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562319 | Thomas Mcspadden | Counselor | 2131 Kirkwood Blvd, Southlake, TX 76092-1529 | 2020-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299103 | Beth Boatman, Lpc-s | Counselor | 211 E Southlake Blvd Ste 115, Southlake, TX 76092-6274 | 2019-11-18 |
| 1962907329 | Jennifer Pruitt | Counselor | 630 E Southlake Blvd Ste 112, Southlake, TX 76092-6259 | 2018-03-28 |
| 1881065811 | Morgan Taylor Fitzgerald | Counselor | 560 N Kimball Ave Ste 130, Southlake, TX 76092-6879 | 2015-10-16 |
| 1417208612 | Jenna A Mack | Counselor | 1207 S White Chapel Blvd Ste 105, Southlake, TX 76092-9315 | 2012-09-27 |
| 1235410945 | Janine Lagon | Counselor | 2435 E. Southlake Blvd., Suite 140, Southlake, TX 76092 | 2011-09-08 |
| 1447547187 | Katie La Khuc | Counselor | 3100 W Southlake Blvd, Southlake, TX 76092-6769 | 2011-07-01 |
| 1184926453 | Stacey Cartlidge | Counselor | 771 E Southlake Blvd Ste 106, Southlake, TX 76092-6354 | 2010-11-18 |
| 1720269368 | Dena Marie Hart | Counselor | 605 Llano Ct, Southlake, TX 76092-6041 | 2007-11-26 |
| 1194733550 | Stephanie C Thurston | Counselor | 200 Pecan Crk Ste 200, Southlake, TX 76092-6373 | 2006-08-03 |
| 1528674405 | Stream Christian Counseling, Pllc | Counselor | 630 E Southlake Blvd Ste 117, Southlake, TX 76092-6259 | 2020-09-16 |
| Find all providers in SOUTHLAKE | ||||
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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.