MARK DANIEL SIMMONS LCPC/C
NPI 1669850376
Counselor - Professional in Kennebunkport, ME
About Mark Daniel Simmons Lcpc/c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK DANIEL SIMMONS LCPC/C (NPI 1669850376) is an individual professional provider in Kennebunkport, Maine, licensed in Maine (XL4378) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Daniel Simmons Lcpc/c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Auburn, ME 04210
- Reassigned Medicare billing, Maine enrollment
- 269 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mark Simmons's NPI number?
The NPI number for Mark Simmons is 1669850376. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Mark Simmons located?
Mark Simmons practices at 103 Whitten Hill Rd, Kennebunkport, ME 04046. The listed phone number is (207) 205-3708.
What is Mark Simmons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mark Simmons enrolled in Medicare?
Yes. Mark Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Simmons reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, ME). 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 Mark Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Simmons accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark 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 Mark Simmons was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mark Daniel Simmons, LCPC/C · NPI 1669850376
Professional provider in Kennebunkport, Maine. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1669850376 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** XL4378 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 103 WHITTEN HILL RD, Kennebunkport, ME 04046-5117
- **Phone:** (207) 205-3708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Health Affiliates Maine, LLC (NPI 1932413556, Auburn, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 13, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1669850376) · Data from the CMS NPPES public registry.