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VANESSA SIMMONS
NPI 1396149340
Counselor in Fairfax, SC

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: October 25, 2026.

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

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
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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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Low Country Health Care System, Inc
Same address
Federally Qualified Health Center (FQHC)
333 REVOLUTIONARY TRAIL
Farifax, SC 29827
  • Reassigned Medicare billing, South Carolina enrollment
  • 49 clinicians in this Medicare group
NPI 1053475566 (803) 632-2533

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 13

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

BAXTER MCLENDON M.D.
Ophthalmology
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
MRS. ERICA LEIGH O'QUINN FNP
Nurse Practitioner (Family)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
CHARLES TAYLOR HUDSON
Peer Specialist
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
MRS. DELOIS DANIELS APRN
Nurse Practitioner (Women's Health)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
MRS. VICKI LYNN LANDIS WHNP-BC
Nurse Practitioner (Women's Health)
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
JANET M MCKISSICK MD
Family Medicine
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
LUCILLE MILEY SANDERS CFNP
Nurse Practitioner
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533
WALTER R KIRBY PA-C
Physician Assistant
333 REVOLUTIONARY TRL
FAIRFAX, SC 29827
Allendale County (803) 632-2533

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 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.

Where is Vanessa Simmons located?

Vanessa Simmons practices at 333 Revolutionary Trl, Fairfax, SC 29827. The listed phone number is (803) 632-2533.

What is Vanessa Simmons's specialty?

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

Is Vanessa Simmons enrolled in Medicare?

Yes. Vanessa Simmons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vanessa Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Simmons reassigns Medicare benefits to Low Country Health Care System, Inc (Farifax, SC). 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 Vanessa Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Simmons accept?

Health plans from BlueCross BlueShield of South Carolina, CareSource, First Choice Next and UnitedHealthcare list Vanessa 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 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.