MS. IVORY SIMMONS
NPI 1114660164
Counselor - Mental Health in Winston Salem, NC

Active since April 18, 2022PECOS Enrolled
1613 WINDSONG CT, WINSTON SALEM, NC 27127(336) 830-2241 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1114660164
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. IVORY SIMMONS
Location Address1613 WINDSONG CTWinston Salem, NC 27127-4788
Mailing Address1613 Windsong CtWinston Salem, NC 27127-4788 · (336) 830-2241
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 18, 2022
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1114660164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A17775
1613 WINDSONG CT, Winston Salem, NC 27127

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Ivory Simmons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42785867
PECOS Enrollment IDI20260409001790
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.

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.

What insurance does Ivory Simmons accept?

Health plans from Blue Cross and Blue Shield of NC 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 with the weekly NPPES data releases published by CMS.