Shannon B Simmons, MS, LPC | |
815 S Ash St, Nevada, MO 64772-3222 | |
(417) 667-8352 | |
(417) 667-9216 |
Full Name | Shannon B Simmons |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 815 S Ash St, Nevada, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467480343 | NPI | - | NPPES |
490620606 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2006005029 (Missouri) | Primary |
Entity Name | Community Mental Health Consultants, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740330406 PECOS PAC ID: 7618877903 Enrollment ID: O20040112000357 |
Mailing Address | Practice Location Address |
---|---|
Shannon B Simmons, MS, LPC 605 W Hickory St, Nevada, MO 64772-2144 Ph: (417) 549-0943 | Shannon B Simmons, MS, LPC 815 S Ash St, Nevada, MO 64772-3222 Ph: (417) 667-8352 |
Timothy L Wells, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Alma St, Nevada, MO 64772 Phone: 417-667-9697 Fax: 417-667-5737 | |
Charie Ann Sands, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-682-5757 Fax: 417-682-5757 | |
Dustan Yates Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 314-712-3411 | |
Karen Brower, MAADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216 | |
Emily Kaye Gallup, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-448-5638 | |
Shirley Willmon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 | |
Alexander Franks, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606 |