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KENNETH SIMMONS
NPI 1083070890
Counselor - Mental Health in Charlotte, NC

Active since January 08, 2016
10617 KETTERING DR, SUITE #216, CHARLOTTE, NC 28226(704) 761-8232(704) 870-3259 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Simmons NPPES

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

KENNETH SIMMONS (NPI 1083070890) is an individual mental health provider in Charlotte, North Carolina and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1083070890
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH SIMMONS
Location Address10617 KETTERING DR, SUITE #216Charlotte, NC 28226-4729
Mailing Address10617 Kettering Dr, Suite #216Charlotte, NC 28226-4729 · (704) 761-8232 · Fax (704) 870-3259
Phone(704) 761-8232
Fax(704) 870-3259
Sole ProprietorNo
Enumeration DateJanuary 8, 2016
✔ NPI 1083070890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10617 KETTERING DR, Charlotte, NC 28226
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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 Kenneth Simmons's NPI number?

The NPI number for Kenneth Simmons is 1083070890. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Kenneth Simmons located?

Kenneth Simmons practices at 10617 Kettering Dr Suite #216, Charlotte, NC 28226. The listed phone number is (704) 761-8232.

What is Kenneth Simmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Simmons was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.