KHAYRIYYAH OCTAVIA SIMMONS LCSW - NPI 1043185085 - Social Worker in Colorado Springs, CO

Q: What is Khayriyyah Simmons's NPI number?

The NPI number for Khayriyyah Simmons is 1043185085. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Q: What is Khayriyyah Simmons's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Khayriyyah Octavia Simmons Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHAYRIYYAH OCTAVIA SIMMONS LCSW (NPI 1043185085) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (CSW.09932329) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1043185085

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKHAYRIYYAH OCTAVIA SIMMONSCredential: LCSW

Location Address9475 BRIAR VILLAGE PT STE 320Colorado Springs, CO 80920-7905

Mailing Address2135 Southgate RdColorado Springs, CO 80906-2605

Phone(970) 310-3406

Fax(888) 965-4615

Sole ProprietorNo

Enumeration DateOctober 8, 2025

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1043185085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CO · CSW.09932329

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

9475 BRIAR VILLAGE PT STE 320, Colorado Springs, CO 80920

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Secondary Practice Location 1

Location 12135 Southgate RdColorado Springs, CO 80906-2605 · Phone (719) 633-4114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khayriyyah Octavia Simmons Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEART CENTERED COUNSELING, PC

Counselor (Mental Health)