VANESSA SIMMONS
NPI 1396149340
Counselor in Fairfax, SC

Q: What is Vanessa Simmons's NPI number?

The NPI number for Vanessa Simmons is 1396149340. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Q: What is Vanessa Simmons's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Simmons was last updated on January 11, 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.

Active since October 20, 2014PECOS Enrolled

333 REVOLUTIONARY TRL, FAIRFAX, SC 29827(803) 632-2533(803) 632-3285 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, Mar 16, 2023, Feb 8, 2022 and 1 more (4 updates tracked since 2017).

On this page

About Vanessa Simmons NPPES

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

VANESSA SIMMONS (NPI 1396149340) is an individual counselor in Fairfax, South Carolina, licensed in South Carolina (6524) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396149340

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameVANESSA SIMMONS

Location Address333 REVOLUTIONARY TRLFairfax, SC 29827-7109

Mailing Address86 Wren StBarnwell, SC 29812-1529 · (803) 259-5762 · Fax (803) 259-3250

Phone(803) 632-2533

Fax(803) 632-3285

Sole ProprietorNo

Enumeration DateOctober 20, 2014

Last NPPES UpdateJanuary 11, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2024

✔ NPI 1396149340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in SC · 6524

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6524 (SC)

333 REVOLUTIONARY TRL, Fairfax, SC 29827

Open in Google Maps ↗

Other Identifiers 2

MedicaidAD01AKSC

Other6524SC · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, CareSource, First Choice Next.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)

Vanessa Simmons 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.

Other Providers at the Same Location NPPES 13

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

BAXTER MCLENDON M.D.

Ophthalmology