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MARY SIMMS LPC
NPI 1083482210
Counselor - Mental Health in Philadelphia, PA

Active since December 18, 2023PECOS Enrolled
4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3600(215) 329-2369 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Nov 21, 2024 (2 updates tracked since 2024).

About Mary Simms Lpc NPPES

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

MARY SIMMS LPC (NPI 1083482210) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC016646) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083482210
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY SIMMSCredential: LPC
Location Address4417 N 6TH STPhiladelphia, PA 19140-2319
Mailing Address35 N Preston StPhiladelphia, PA 19104-2258
Phone(215) 302-3600
Fax(215) 329-2369
Sole ProprietorNo
Enumeration DateDecember 18, 2023
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1083482210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · PC016646
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC016646 (PA), 0701011650 (VA)
4417 N 6TH ST, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Simms Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Simms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Esperanza Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
4417 N 6TH ST, ESPERANZA HEALTH CEN
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1255726659 (215) 302-3150

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.

DOMINIC DERENGE D.O.
Family Medicine
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-6000
DHIVYA T PATTANIYIL MSN, CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
HELEN MUTOKO
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
OANH HOANG VO CRNP
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
KERITH DUGGAN CRNP
Nurse Practitioner (Pediatrics)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
ESPERANZA HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3150
CHRISTINA ELYSE DERENGE PSYD
Psychologist
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600
LAURA CLAIRE CHACON
Doula
4417 N 6TH ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 302-3600

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 Mary Simms's NPI number?

The NPI number for Mary Simms is 1083482210. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Mary Simms located?

Mary Simms practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3600.

What is Mary Simms's specialty?

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

Is Mary Simms enrolled in Medicare?

Yes. Mary Simms is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Simms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Simms reassigns Medicare benefits to Esperanza Health Center, Inc. (Philadelphia, PA). The 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 Mary Simms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Simms was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.