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MR. DEREK XAVIER SIMMONS
NPI 1730556010
Counselor - Mental Health in Sicklerville, NJ

Active since August 21, 2015
2 PITTMAN LN, SICKLERVILLE, NJ 08081(551) 998-1216 Get Directions Write a Review

NPPES record last updated: August 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek Xavier Simmons NPPES

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

MR. DEREK XAVIER SIMMONS (NPI 1730556010) is an individual mental health provider in Sicklerville, New Jersey and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1730556010
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEREK XAVIER SIMMONS
Location Address2 PITTMAN LNSicklerville, NJ 08081-2009
Mailing Address2 Pittman LnSicklerville, NJ 08081-2009 · (551) 998-1216
Phone(551) 998-1216
Sole ProprietorYes
Enumeration DateAugust 21, 2015
✔ NPI 1730556010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2 PITTMAN LN, Sicklerville, NJ 08081
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Other Providers at the Same Location NPPES

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

ROMAR, LLC
Supports Brokerage
2 PITTMAN LN
SICKLERVILLE, NJ 08081
Camden County (609) 636-5431

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 Derek Simmons's NPI number?

The NPI number for Derek Simmons is 1730556010. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Where is Derek Simmons located?

Derek Simmons practices at 2 Pittman Ln, Sicklerville, NJ 08081. The listed phone number is (551) 998-1216.

What is Derek Simmons's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derek Simmons was last updated on August 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.