MR. DEREK XAVIER SIMMONS


Address: 2 Pittman Ln, Sicklerville, NJ 08081-2009
Phone: 5519981216

MR. DEREK XAVIER SIMMONS (NPI# 1730556010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730556010
Entity Type Individual
Full Name MR. DEREK XAVIER SIMMONS
Practice Address 2 Pittman Ln
Sicklerville
NJ 08081-2009
Practice Telephone 5519981216
Mailing Telephone 5519981216
Enumeration Date 2015-08-21
Last Update Date 2015-08-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers DEREK SIMMONS

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1467916510 Derek Simmons Specialist/Technologist 7912 Hunt Rd, Springfield, IL 62712-8995 2019-01-23
1366821993 Derek Simmons Nurse Practitioner 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 2015-05-28

Office Location

Street Address 2 PITTMAN LN
City SICKLERVILLE
State NJ
Zip Code 08081-2009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063078723 Romar, LLC Supports Brokerage 2 Pittman Ln, Sicklerville, NJ 08081-2009 2019-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771031 Clack Associates, LLC. Counselor 603 Liberty Place, Sicklerville, NJ 08081 2019-10-13
1164901351 Devereux Foundation Day Training, Developmentally Disabled Services 1601 - 1603 Sicklerville Road, Sicklerville, NJ 08081 2018-08-09
1467930990 Brooke Schatzman Lactation Consultant, Non-RN 112 Hampton Court, Sicklerville, NJ 08081 2018-08-06
1831686443 Grandular Senior Living Day Training/Habilitation Specialist 542 Berlin Cross Key Road Ste 3-270, Sicklerville, NJ 08081 2018-04-18
1942718465 Community Dental of Sicklerville, P.C. Dentist 513 Cross Keys Road, Sicklerville, NJ 08081 2018-01-18
1831609304 Assoc. for Retarded Citizens, Inc. Gloucester County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10 Brandon Court, Sicklerville, NJ 08081 2017-10-10
1710402631 Premiere Behavioral Supports Behavior Technician 404 Independence Blvd, Sicklerville, NJ 08081 2017-08-11
1285167346 A Better Concept Community/Behavioral Health 20 Wildcat Branch Dr, Sicklerville, NJ 08081 2017-04-06
1558712299 Shaquira Briggs Counselor 40 Vernon Court, Sicklerville, NJ 08081 2016-06-23
1588012496 Grace Musokae Pharmacist 412 Sicklerville Rd, Jolin's Pharmacy #103, Sicklerville, NJ 08081 2016-06-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477150324 Aloha Counseling and Support Services, LLC Counselor 5 Madison Ln, Sicklerville, NJ 08081-4410 2020-10-05
1568097327 Jessica Kurczewski Counselor 29 Village Green Ln, Sicklerville, NJ 08081-1629 2020-03-11
1659831782 Safeway Independent Services, LLC Counselor 130 Village Green Ln, Sicklerville, NJ 08081-1641 2019-03-24
1801355565 Lorraine Frances Westenberger Counselor 557 Williamstown Rd, Sicklerville, NJ 08081-1825 2019-03-13
1225504558 Jason Bonas Counselor 24 Madison Ln, Sicklerville, NJ 08081-4409 2018-10-14
1720565047 Mailon L Demby Counselor 1600 Liberty Pl, Sicklerville, NJ 08081-5705 2018-07-20
1558712299 Shaquira Briggs Counselor 40 Vernon Court, Sicklerville, NJ 08081 2016-06-23
1932553922 Jenny C Robertson Counselor 3111 Route 42 Ste B, Sicklerville, NJ 08081 2016-04-16
1609236603 Esther Adeleke Counselor 171 Breckenridge Dr, Sicklerville, NJ 08081-3240 2016-03-03
1801260211 Tia Joyner Counselor 501 Chews Landing Rd, Apt 259, Sicklerville, NJ 08081-1782 2015-11-23
Find all providers in SICKLERVILLE

Competitor

Search similar providers

City SICKLERVILLE
Zip Code 08081

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Dataset Information

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.

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