Mrs Nikisha Lynnette Simmons-maclin, LADC - Counselor in Coon Rapids, MN

Mrs Nikisha Lynnette Simmons-maclin, LADC is a Counselor - Addiction (substance Use Disorder) based in Coon Rapids, Minnesota. Mrs Nikisha Lynnette Simmons-maclin is licensed to practice in Minnesota (license number 304191) and her current practice location is 10026 University Ave Nw Ste 103, Coon Rapids, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 636-9677.

NPI number for Mrs Nikisha Lynnette Simmons-maclin is 1063870905 and her current mailing address is 10732 Ilex St Nw, Coon Rapids, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063870905.

Contact Information

Mrs Nikisha Lynnette Simmons-maclin, LADC
10026 University Ave Nw Ste 103,
Coon Rapids, MN 55448-2213
(612) 636-9677
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Nikisha Lynnette Simmons-maclin
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location10026 University Ave Nw Ste 103, Coon Rapids, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063870905
  • Provider Enumeration Date: 02/06/2016
  • Last Update Date: 01/30/2019

Medical Identifiers

Medical identifiers for Mrs Nikisha Lynnette Simmons-maclin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063870905NPI-NPPES
1098948OtherMNMINNESOTA DEPARTMENT OF HUMAN SERVICES
304191OtherMNMINNESOTA BOARD OF BEHAVIOR HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 304191 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nikisha Lynnette Simmons-maclin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nikisha Lynnette Simmons-maclin, LADC
10732 Ilex St Nw,
Coon Rapids, MN 55448-6508

Ph: (612) 636-9677
Mrs Nikisha Lynnette Simmons-maclin, LADC
10026 University Ave Nw Ste 103,
Coon Rapids, MN 55448-2213

Ph: (612) 636-9677

Reviews and Comments


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