MRS. LESLIE JOY SIMMONS (NPI# 1366533242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366533242 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE JOY SIMMONS |
| Credential | MA LCPC |
| Practice Address |
169 Park Row Brunswick ME 04011 |
| Practice Telephone | 2077295426 |
| Practice Fax Number | 2077252473 |
| Mailing Telephone | 2077295426 |
| Mailing Fax Number | 2077252473 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | CC169 | ME | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | CC169 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497393 | Leslie Annette Simmons | Licensed Practical Nurse | 500 Grouper Dr, Fayetteville, NC 28306-8453 | 2018-11-29 |
| 1699299784 | Leslie Renee Simmons | Social Worker | 5501 Executive Center Dr Ste 238, Charlotte, NC 28212-8867 | 2017-07-31 |
| 1255655155 | Leslie Denise Simmons | Nurse Practitioner | 1858 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2010-03-22 |
| 1275782583 | Leslie Simmons | Social Worker | 197 Mendez Loop, Kyle, TX 78640-4343 | 2008-09-10 |
| 1285984989 | Leslie Sue Simmons | Specialist | 1833 Eastgate Rd, Toledo, OH 43614-3034 | 2012-09-11 |
| 1598870198 | Leslie Michelle Simmons | Obstetrics & Gynecology | 1111 Spring St, Suite 220, Silver Spring, MD 20910-4003 | 2006-08-21 |
| Street Address |
169 PARK ROW |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510515 | Richard A Voit | Psychologist | 169 Park Row, Suite 5, Brunswick, ME 04011-2039 | 2006-05-31 |
| 1629166608 | Dorothy Chaisson | Social Worker | 169 Park Row, Suite 7, Brunswick, ME 04011 | 2006-10-11 |
| 1588760359 | Howard T Rosenfield | Psychiatry & Neurology | 169 Park Row, Ste 7, Brunswick, ME 04011 | 2006-09-16 |
| 1821192113 | Miles A Simmons | Psychiatry & Neurology | 169 Park Row, Suite 7, Brunswick, ME 04011 | 2006-09-08 |
| 1013025808 | Jean M Principe | Psychologist | 169 Park Row, Brunswick, ME 04011 | 2006-08-29 |
| 1023125242 | Allen Robert Northup | Social Worker | 169 Park Row, Brunswick, ME 04011 | 2006-08-24 |
| 1669404497 | David B Nagler | Psychiatry & Neurology | 169 Park Row, Suite 7, Brunswick, ME 04011-2039 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255895298 | Ujima Counseling, Consulting and Coaching LLC | Counselor | 110 Lantana Ct, Brunswick, GA 31520-2211 | 2019-01-23 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1154649713 | Donna Lynn Bann | Counselor | 9 Hovey Ln, Brunswick, ME 04011-7840 | 2010-05-06 |
| 1033327135 | Heinrich Peter Tesch Von Cultz II | Counselor | 1638 Norwich Street, Brunswick, GA 31520 | 2007-05-20 |
| 1386158558 | Rosalie Genova | Counselor | 66 Baribeau Dr, Brunswick, ME 04011 | 2017-11-27 |
| 1114475639 | Jane Briggs | Counselor | 153 Park Row, Brunswick, ME 04011-2053 | 2016-09-13 |
| 1518245398 | Michael W Arthur | Counselor | 14 Maine St, Brunswick, ME 04011-2049 | 2011-07-28 |
| 1538495874 | Jamie Wade | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-21 |
| 1174858179 | Dawn Herrick | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-08 |
| 1497080428 | Tamzyn Palmer | Counselor | 14 Maine St, Suite 202, Brunswick, ME 04011-2049 | 2009-10-08 |
| Find all providers in BRUNSWICK | ||||
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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.