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MICHELLE L SIMMONS LMSW
NPI 1639684608
Social Worker - Clinical in Kalamazoo, MI

Active since December 12, 2017PECOS Enrolled
5830 HOLIDAY TERRACE SUITE 28, KALAMAZOO, MI 49009(269) 290-8375 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle L Simmons Lmsw NPPES

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

MICHELLE L SIMMONS LMSW (NPI 1639684608) is an individual clinical provider in Kalamazoo, Michigan, licensed in Michigan (6851110733) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639684608
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE L SIMMONSCredential: LMSW
Location Address5830 HOLIDAY TERRACE SUITE 28Kalamazoo, MI 49009
Mailing Address5380 Holiday Ter Ste 28Kalamazoo, MI 49009-2128 · (269) 290-8375
Phone(269) 290-8375
Sole ProprietorNo
Enumeration DateDecember 12, 2017
Last NPPES UpdateMay 29, 2024
NPPES CertifiedFebruary 15, 2022
✔ NPI 1639684608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6851110733
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5830 HOLIDAY TERRACE SUITE 28, Kalamazoo, MI 49009
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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)

Michelle L Simmons Lmsw 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 Michelle Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kathy Piecuch Counseling Services
5.2 mi
Mental Health
8446 COPPER HARBOR ST
Kalamazoo, MI 49009
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
NPI 1659737666 (269) 409-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michelle Simmons's NPI number?

The NPI number for Michelle Simmons is 1639684608. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Michelle Simmons located?

Michelle Simmons practices at 5830 Holiday Terrace Suite 28, Kalamazoo, MI 49009. The listed phone number is (269) 290-8375.

What is Michelle Simmons's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michelle Simmons enrolled in Medicare?

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

Which organization bills Medicare for Michelle Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Simmons reassigns Medicare benefits to Kathy Piecuch Counseling Services (Kalamazoo, MI). 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 Michelle Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Simmons accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Michelle 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 Michelle Simmons was last updated on May 29, 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.