MR. ADRIAN JINKICHI SIMMONS (NPI# 1790836542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790836542 |
Entity Type | Individual |
Full Name | MR. ADRIAN JINKICHI SIMMONS |
Credential | LMFT |
Practice Address |
15409 Anacapa Rd Ste F Victorville CA 92392-2463 |
Mailing Address |
8849 Svl Box Victorville CA 92395-5131 |
Practice Telephone | 7605081075 |
Mailing Telephone | 7605081075 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-04-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 106H00000X | Marriage & Family Therapist | 116635 | CA | Behavioral Health & Social Service Providers |
Street Address |
15409 ANACAPA RD STE F |
City | VICTORVILLE |
State | CA |
Zip Code | 92392-2463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841803400 | A-way Counseling Services | Clinic/Center | 15409 Anacapa Rd Ste F, Victorville, CA 92392-2463 | 2020-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
Find all providers in zip 92392 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417514258 | Sophia Nana Akyeampong | Marriage & Family Therapist | 14344 Cajon Ave Ste 101, Victorville, CA 92392-4301 | 2019-05-28 |
1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
1679071450 | David A Vest | Marriage & Family Therapist | 15415 Anacapa Rd # 7, Victorville, CA 92392-2463 | 2018-01-26 |
1003345281 | Angela Marie Rincon | Marriage & Family Therapist | 15095 Amargosa Rd Ste 205, Victorville, CA 92394-1879 | 2017-06-09 |
1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
1679025308 | Syreeta Green | Marriage & Family Therapist | 15437 Anacapa Rd Ste 23, Victorville, CA 92392-2458 | 2016-10-28 |
1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
1497173553 | Blaine Witte | Marriage & Family Therapist | 15437 Anacapa Rd, Victorville, CA 92392-2458 | 2014-04-04 |
1316385339 | Cecelia Marzullo | Marriage & Family Therapist | 16552 Sunhill Dr, Victorville, CA 92395-4518 | 2013-06-12 |
Find all providers in VICTORVILLE |
City | VICTORVILLE |
Zip Code | 92392 |
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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.