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KEITH THOMAS SIMMONS
NPI 1619614732
Counselor - Addiction (Substance Use Disorder) in Folsom, CA

Active since May 19, 2022
130 PROSPECTOR CT, FOLSOM, CA 95630(916) 293-9667 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, May 19, 2022 (2 updates tracked since 2022).

About Keith Thomas Simmons NPPES

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

KEITH THOMAS SIMMONS (NPI 1619614732) is an individual addiction (substance use disorder) provider in Folsom, California, licensed in California (CI41460124) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1619614732
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEITH THOMAS SIMMONS
Location Address130 PROSPECTOR CTFolsom, CA 95630-5119
Mailing Address130 Prospector CtFolsom, CA 95630-5119 · (916) 293-9667
Phone(916) 293-9667
Sole ProprietorNo
Enumeration DateMay 19, 2022
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1619614732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CI41460124
130 PROSPECTOR CT, Folsom, CA 95630
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Other Providers at the Same Location NPPES 5

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

MRS. YVONNE MARTINEZ THOMAS MS, CADC-III
Counselor (Addiction (Substance Use Disorder))
130 PROSPECTOR CT
FOLSOM, CA 95630
Sacramento County (916) 905-1099
STEPHANIE LYNN COGBILL
Counselor (Addiction (Substance Use Disorder))
130 PROSPECTOR CT
FOLSOM, CA 95630
Sacramento County (916) 293-9667
DAVID MICHAEL BEGOVICH RADT-I
Counselor (Addiction (Substance Use Disorder))
130 PROSPECTOR CT
FOLSOM, CA 95630
Sacramento County (916) 293-9667
ANTHONY PHILIP DEPALMA SUDRC I
Counselor (Addiction (Substance Use Disorder))
130 PROSPECTOR CT
FOLSOM, CA 95630
Sacramento County (916) 293-9667
SERENITY RECOVERY SOLUTIONS
Substance Abuse Rehabilitation Facility
130 PROSPECTOR CT
FOLSOM, CA 95630
Sacramento County (916) 673-7191

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 Keith Simmons's NPI number?

The NPI number for Keith Simmons is 1619614732. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Keith Simmons located?

Keith Simmons practices at 130 Prospector Ct, Folsom, CA 95630. The listed phone number is (916) 293-9667.

What is Keith Simmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keith Simmons was last updated on June 12, 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.