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MR. MARVIN LEE SIMMONS III
NPI 1790053098
Counselor in Richmond, CA

Active since December 01, 2011
4505 TAFT AVE, RICHMOND, CA 94804(510) 234-1299 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Marvin Lee Simmons Iii NPPES

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

MR. MARVIN LEE SIMMONS III (NPI 1790053098) is an individual counselor in Richmond, California and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1790053098
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. MARVIN LEE SIMMONS III
Location Address4505 TAFT AVERichmond, CA 94804-3449
Mailing Address1326 Phoenix Dr Apt 8Fairfield, CA 94533-5393 · (707) 416-3127
Phone(510) 234-1299
Sole ProprietorNo
Enumeration DateDecember 1, 2011
✔ NPI 1790053098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4505 TAFT AVE, Richmond, CA 94804
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Other Providers at the Same Location NPPES 7

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

R AND R EDUCATIONAL HOMES
Residential Treatment Facility, Emotionally Disturbed Children
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 235-3172
EMIKO FRANCES AVERY
Community Health Worker
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 234-1299
MR. ALLEN C WILSON JR.
Counselor (Mental Health)
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 235-3172
R & R EDUCATIONAL HOMES
Counselor (Mental Health)
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 235-3172
MICHAEL LASTRA II
Counselor
4505 TAFT AVE, 4505 TAFT AVE.
RICHMOND, CA 94804
Contra Costa County (510) 235-3172
R & R EDUCATIONAL HOMES
Social Worker (Clinical)
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 235-3172
GILDA BAIN-PEW
Social Worker (Clinical)
4505 TAFT AVE
RICHMOND, CA 94804
Contra Costa County (510) 235-3172

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 Marvin Simmons's NPI number?

The NPI number for Marvin Simmons is 1790053098. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Marvin Simmons located?

Marvin Simmons practices at 4505 Taft Ave, Richmond, CA 94804. The listed phone number is (510) 234-1299.

What is Marvin Simmons's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Marvin Simmons was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.