SHARON SIMMONS
NPI 1013090026
Counselor - Mental Health in Hopkinsville, KY
About Sharon Simmons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHARON SIMMONS (NPI 1013090026) is an individual mental health provider in Hopkinsville, Kentucky and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sharon Simmons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Sharon Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milford, OH 45150
- Reassigned Medicare billing, Ohio enrollment
- 16 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Ohio enrollment
- 130 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sharon Simmons's NPI number?
The NPI number for Sharon Simmons is 1013090026. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Sharon Simmons located?
Sharon Simmons practices at 607 Hammond Plz, Hopkinsville, KY 42240. The listed phone number is (270) 886-2205.
What is Sharon Simmons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sharon Simmons enrolled in Medicare?
Yes. Sharon Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sharon Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Simmons reassigns Medicare benefits to 2 organizations: Lswhb LLC (Milford, OH) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharon Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sharon Simmons accept?
Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and Paramount and 1 other insurer list Sharon Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sharon Simmons was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.