MS. IVORY SIMMONS
NPI 1114660164
Counselor - Mental Health in Winston Salem, NC
About Ms. Ivory Simmons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. IVORY SIMMONS (NPI 1114660164) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (A17775) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
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 (PECOS)
Ms. Ivory Simmons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ivory Simmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greensboro, NC 27410
- Reassigned Medicare billing, North Carolina enrollment
Greensboro, NC 27408
- Reassigned Medicare billing, North Carolina enrollment
- 12 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.
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 Ivory Simmons's NPI number?
The NPI number for Ivory Simmons is 1114660164. It was assigned to this individual provider in the NPPES registry on April 18, 2022.
Where is Ivory Simmons located?
Ivory Simmons practices at 1613 Windsong Ct, Winston Salem, NC 27127. The listed phone number is (336) 830-2241.
What is Ivory Simmons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ivory Simmons enrolled in Medicare?
Yes. Ivory Simmons is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ivory Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivory Simmons reassigns Medicare benefits to 2 organizations: Bridgu, PLLC (Greensboro, NC) and Thrive Wellness Center (Greensboro, 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 Ivory Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ivory Simmons accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Ivory 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 Ivory Simmons was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Ivory Simmons · NPI 1114660164
Mental Health provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 18, 2022.
## Identity
- **NPI:** 1114660164 (Entity type: Individual)
- **Enumerated:** April 18, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A17775 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1613 WINDSONG CT, Winston Salem, NC 27127-4788
- **Phone:** (336) 830-2241
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bridgu, PLLC (NPI 1164255840, Greensboro, NC); Thrive Wellness Center (NPI 1316651490, Greensboro, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114660164) · Data from the CMS NPPES public registry.