AUTUMN MORAN SIMMONS
NPI 1972176766
Counselor - Mental Health in Portland, OR

Active since July 20, 2021
2318 NE MLK JR BLVD, PORTLAND, OR 97212(503) 335-8611 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, May 19, 2023, Jul 20, 2021 (3 updates tracked since 2021).

About Autumn Moran Simmons NPPES

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

AUTUMN MORAN SIMMONS (NPI 1972176766) is an individual mental health provider in Portland, Oregon, licensed in Oregon (22-QMHA-R-2421) and active in the NPI registry since July 2021. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1972176766
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUTUMN MORAN SIMMONS
Location Address2318 NE MLK JR BLVDPortland, OR 97212-3715
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1972176766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 22-QMHA-R-2421

Secondary Practice Location 1

Location 117710 NE Halsey St Bldg APortland, OR 97230-6734 · Phone (503) 654-7654 · Fax (503) 654-7333

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Addiction (Substance Use Disorder))
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Addiction (Substance Use Disorder))
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Naturopath
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Mental Health)
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Addiction (Substance Use Disorder))
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Mental Health)
2318 NE MLK JR BLVD
PORTLAND, OR 97212
Counselor (Addiction (Substance Use Disorder))
2318 NE MLK JR BLVD
PORTLAND, OR 97212

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 Autumn Simmons's NPI number?

The NPI number for Autumn Simmons is 1972176766. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Autumn Simmons located?

Autumn Simmons practices at 2318 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 335-8611.

What is Autumn 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 Autumn Simmons was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.