1. Home
  2. Directory
  3. Michigan
  4. Benton Harbor
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SHONTAY LATRESE SIMMONS PMHNP-BC
NPI 1710842992
Nurse Practitioner - Psychiatric/Mental Health in Benton Harbor, MI

Active since December 19, 2025
1485 M 139, BENTON HARBOR, MI 49022(269) 925-0585 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Dec 19, 2025 (2 updates tracked since 2025).

About Mrs. Shontay Latrese Simmons Pmhnp-bc NPPES

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

MRS. SHONTAY LATRESE SIMMONS PMHNP-BC (NPI 1710842992) is an individual psychiatric/mental health provider in Benton Harbor, Michigan, licensed in Michigan (4704308911) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1710842992
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHONTAY LATRESE SIMMONSCredential: PMHNP-BC
Location Address1485 M 139Benton Harbor, MI 49022-5711
Mailing Address223 S 13th StSaginaw, MI 48601-1837 · (989) 714-7299
Phone(269) 925-0585
Sole ProprietorNo
Enumeration DateDecember 19, 2025
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1710842992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704308911
1485 M 139, Benton Harbor, MI 49022
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JACQUELINE R BONARDI
Counselor (Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MS. AMBER KAY FERGISON
Social Worker (Clinical)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
SAMUEL SAINT-PHARD
Behavior Technician
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
APRIL K REYBUCK RN
Registered Nurse (Psychiatric/Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 934-0119
SHANIYA HINES
Peer Specialist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 985-0585
THERESE ZITTA
Occupational Therapist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MR. DAVID ANDREW LAWRENCE MSW
Social Worker
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

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 Shontay Simmons's NPI number?

The NPI number for Shontay Simmons is 1710842992. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Shontay Simmons located?

Shontay Simmons practices at 1485 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 925-0585.

What is Shontay Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shontay Simmons was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.