MADELYN SIMMONS
NPI 1285406645
Counselor - Mental Health in Erie, PA

Active since October 27, 2023Opted out of Medicare · through Sep 5, 2026
3800 W 12TH ST STE 7, ERIE, PA 16505(814) 482-2209 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madelyn Simmons NPPES

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

MADELYN SIMMONS (NPI 1285406645) is an individual mental health provider in Erie, Pennsylvania, licensed in Pennsylvania (PC016317) and active in the NPI registry since October 2023. She has opted out of Medicare through September 5, 2026.

NPPES Registry Identity

NPI1285406645
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADELYN SIMMONS
Location Address3800 W 12TH ST STE 7Erie, PA 16505-3380
Mailing Address4406 Brandes StErie, PA 16504-2318 · (610) 737-9507
Sole ProprietorYes
Enumeration DateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1285406645 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 PA · PC016317
3800 W 12TH ST STE 7, Erie, PA 16505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Madelyn Simmons has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2024 through September 5, 2026.

Opt-Out Effective DateSeptember 5, 2024
Opt-Out In Effect ThroughSeptember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
3800 W 12TH ST STE 7
ERIE, PA 16505
Clinic/Center (Adolescent and Children Mental Health)
3800 W 12TH ST STE 7
ERIE, PA 16505
Counselor (Mental Health)
3800 W 12TH ST STE 7
ERIE, PA 16505

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 Madelyn Simmons's NPI number?

The NPI number for Madelyn Simmons is 1285406645. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Madelyn Simmons located?

Madelyn Simmons practices at 3800 W 12th St Ste 7, Erie, PA 16505. The listed phone number is (814) 482-2209.

What is Madelyn Simmons's specialty?

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

Is Madelyn Simmons enrolled in Medicare?

No. Madelyn Simmons has opted out of Medicare through September 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Madelyn Simmons was last updated on October 27, 2023. 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.